Individual
MRS. IMAN A ABOUKHATWA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
38777 6 MILE RD SUITE 209, LIVONIA, MI 48152
(888) 414-7056
(877) 414-9925
Mailing address
49255 DOMINION CT, CANTON, MI 48187-5807
(734) 844-2336
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501012858
MI
Other
Enumeration date
04/09/2012
Last updated
04/09/2012
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