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Individual

ANEELA JAHANGIR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RPT

Contact information

Practice address
24537 OLDE ORCHARD ST, NOVI, MI 48375-2977
(248) 478-2858
Mailing address
7409 VILLAGE SQUARE DR, WEST BLOOMFIELD, MI 48322-3391
(248) 982-2775

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
5501006228
MI
225100000X
Physical Therapist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
5501006228
PHYSICAL THERAPY LICENSE
MI
Enumeration date
10/28/2006
Last updated
01/16/2019
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