Individual
GHAZALA QASIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1410 E 14 MILE RD, MADISON HEIGHTS, MI 48071-1541
(248) 743-9400
Mailing address
1410 E 14 MILE RD, MADISON HEIGHTS, MI 48071-1541
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501005145
MI
Other
Enumeration date
11/22/2018
Last updated
12/02/2018
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