Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XP0019X | Occupational Therapist - Physical Rehabilitation | 5201010698 | MI |
NPI | 1225654981 |
---|---|
Provider Name | Nehan Qasim |
First Address | Harper Woods, MI 48225-1804 |
Second Address | Harper Woods, MI 48225-1804 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/06/2020 |
Last Update Date | 27/05/2021 |