Individual
SHAHID KHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR
Contact information
Practice address
481 VILLAGE GREEN LN, MONROE, MI 48162-3367
(734) 242-6282
Mailing address
22109 NIXON AVE, BROWNSTOWN, MI 48193-8233
(734) 846-6003
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201004246
MI
225X00000X
Occupational Therapist
—
—
Other
Enumeration date
10/02/2018
Last updated
03/05/2019
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