Individual
FAZAL KHALIQ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
530 N TELEGRAPH RD, DEARBORN, MI 48128-1658
(248) 730-2312
Mailing address
26017 GREENFIELD RD, SOUTHFIELD, MI 48076-4703
(248) 291-5301
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501017486
MI
Other
Enumeration date
11/20/2015
Last updated
07/23/2024
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