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Organization
TOTAL FITNESS REHABILITATION
Active
Organization
TOTAL FITNESS REHABILITATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOTA SOMASUNDARA MUDALI PHYSICAL THERAPIST (PRESIDENT)
(586) 873-5872
Entity
Organization
Contact information
Practice address
4599 EASTHAVEN COURT, SHELBT TWP, MI 48317
(586) 873-5872
(586) 323-0979
Mailing address
4599 EASTHAVEN COURT, SHELBT TWP, MI 48317
(586) 873-5872
(586) 323-0979
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501006348
MI
Other
Enumeration date
05/07/2007
Last updated
08/22/2020
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