SearchMichigan104100000X

Fatima Mallick

NPI 1699202861 · on the registry since 2017 · sole proprietor

Practice

Address
1905 S Haggerty Rd # 40
Canton, MI 48188
Phone
(734) 945-2507
Organisation at this address
Fm Therapy
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
104100000X
104100000X
Licence states on file
MI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-03-17

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