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Kazeem Agboola, DPT
NPI 1972960821 · on the registry since 2016 · sole proprietor
Practice
- Address
- 14058 W Mcnichols Rd
Detroit, MI 48235 - Phone
- (313) 659-6847
- Fax
- (313) 659-6867
- Organisation at this address
- Ideal Physical Therapy Services,Inc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 2251X0800X
2251X0800X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2016-01-23
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