Individual
KHODR ABDULREDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
15825 MIDDLEBELT RD, LIVONIA, MI 48154-3811
(734) 707-0220
Mailing address
15825 MIDDLEBELT RD, LIVONIA, MI 48154
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5502005398
MI
Other
Enumeration date
06/12/2023
Last updated
08/28/2023
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