MAHTAB KOOCHAKI

DETROIT, MI
NPI1720545262
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: MI  5501019028)
Enumeration Date2019-02-20
Last Update Date2019-02-20
Business Address
MAHTAB KOOCHAKI PT, DPT
261 MACK AVE
DETROIT, MI 48201-2417
Phone number: 313-745-1100
Mailing Address
MAHTAB KOOCHAKI PT, DPT
29131 CREEK BEND DR
FARMINGTON HILLS, MI 48331-2607
Phone number: