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1114768264
OBAIDULLAH FAROOQ AHMAD
RIVERVIEW, MI
NPI
1114768264
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: MI 5502003901)
Enumeration Date
2024-06-03
Last Update Date
2024-06-03
Business Address
OBAIDULLAH FAROOQ AHMAD PTA
18591 QUARRY ST
RIVERVIEW, MI 48193-4522
Phone number: 734-934-3929
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Mailing Address
OBAIDULLAH FAROOQ AHMAD PTA
15672 GOLFVIEW DR CT
RIVERVIEW, MI 48193-8003
Phone number: 734-934-3929
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