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Chaka Mathiea
NPI 1407066772 · on the registry since 2007
Practice
- Address
- 11554 E 12 Mile Rd
Warren, MI 48093 - Phone
- (586) 558-0185
- Fax
- (586) 558-7128
- Clinicians at this address
- 6
Registry record
- Primary taxonomy
- Physical Therapist
225100000X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan