Individual
HADIA TARIQ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
3108 E MICHIGAN AVE STE A, LANSING, MI 48912-4642
(517) 784-0037
(517) 990-6212
Mailing address
3073 SHIRLEY DR, JACKSON, MI 49201-7010
(517) 990-6211
(517) 990-6212
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501302641
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0C33574
BCBS
MI
Enumeration date
08/29/2023
Last updated
02/10/2025
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