Individual
BASEM MAHER ALSALAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTRL
Contact information
Practice address
26750 PROVIDENCE PKWY STE 220, NOVI, MI 48374-1212
(248) 596-0412
Mailing address
6037 CAMBOURNE RD, DEARBORN HEIGHTS, MI 48127-3916
(313) 645-1525
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201010768
MI
Other
Enumeration date
11/15/2019
Last updated
11/15/2019
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