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Contact Information

KAZEEM AGBOOLA, DPT
14058 W MCNICHOLS RD
DETROIT, MI48235-3928
 Phone: 313-659-6847
 Fax: 313-659-6867
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Orthopedic

2251X0800X 65 Physical Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for KAZEEM AGBOOLA · (Male)

NPI Number 1972960821
Status Active
Credentials DPT (Doctorate of Physical Therapy)
Entity Individual
Enumeration date 01/23/2016
Last updated 01/23/2016 - About 10 years ago
Sole proprietor 1 Yes
Identifiers
  • MI License # 5501006794
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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