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Organization

PHYSICO PT, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. KALLIL KAZAN DC (OWNER/MEMBER)
(313) 314-0090
Entity
Organization

Contact information

Practice address
6 PARKLANE BLVD STE 100, DEARBORN, MI 48126-4206
(313) 314-0090
(313) 314-0095
Mailing address
6 PARKLANE BLVD STE 100, DEARBORN, MI 48126-4206
(313) 314-0090
(313) 314-0095

Taxonomy

Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary

Other

Enumeration date
09/20/2022
Last updated
09/20/2022
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