Individual
KAZEEM AGBOOLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
14058 W MCNICHOLS RD, DETROIT, MI 48235-3928
(313) 659-6847
(313) 659-6867
Mailing address
14058 W MCNICHOLS RD, DETROIT, MI 48235-3928
(313) 659-6847
(313) 659-6867
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
5501006794
MI
Other
Enumeration date
01/23/2016
Last updated
01/23/2016
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