| Doctor Name: | AKHTER BANO |
| NPI Number: | 1013341106 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RPT/DPT |
| License Number: | 5501008541 |
| Business Practice Address: | 25321 5 Mile Rd Suite 1 Redford, MI - 482393700 |
| Business Phone Number: | 3133875119 |
| Business Fax Number: | |
| Mailing Address: | 25321 5 Mile Rd, Suite # 1 REDFORD |
| State: | MI |
| Postal Code: | 482393700 |
| Phone Number: | 3133875119 |
| Fax Number: | |
| NPI Enumeration Date: | 08/26/2013 |
| NPI Last Update Date: | 08/26/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2000X |
| License Number: | 5501008541 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Physical Therapy |
| Taxonomy Definition: | |