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1720545262
MAHTAB KOOCHAKI
DETROIT, MI
NPI
1720545262
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: MI 5501019028)
Enumeration Date
2019-02-20
Last Update Date
2019-02-20
Business Address
MAHTAB KOOCHAKI PT, DPT
261 MACK AVE
DETROIT, MI 48201-2417
Phone number: 313-745-1100
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Mailing Address
MAHTAB KOOCHAKI PT, DPT
29131 CREEK BEND DR
FARMINGTON HILLS, MI 48331-2607
Phone number:
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