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1730863796
KHODR ABDULREDA
LIVONIA, MI
NPI
1730863796
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: MI 5502005398)
Enumeration Date
2023-06-12
Last Update Date
2023-08-28
Business Address
KHODR ABDULREDA PTA
15825 MIDDLEBELT RD
LIVONIA, MI 48154-3811
Phone number: 734-707-0220
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Mailing Address
KHODR ABDULREDA PTA
15825 MIDDLEBELT RD
LIVONIA, MI 48154
Phone number:
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