Individual
ASIF KHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6949 HEATHER HEATH, WEST BLOOMFIELD, MI 48322-3777
(248) 929-1764
Mailing address
6949 HEATHER HEATH, WEST BLOOMFIELD, MI 48322-3777
(248) 929-1764
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201010587
MI
Other
Enumeration date
04/27/2019
Last updated
04/27/2019
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