Individual
GAMBRA RASUL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2214 KNOTTY PINE TRL, HOWELL, MI 48855-7801
(248) 250-1237
Mailing address
2214 KNOTTY PINE TRL, HOWELL, MI 48855-7801
(248) 250-1237
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501009119
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5501009119
—
MI
Enumeration date
04/10/2007
Last updated
07/08/2007
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