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Organization
PROFESSIONAL PHYSICAL THERAPY CLINIC INC
Active
Organization
PROFESSIONAL PHYSICAL THERAPY CLINIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SURESH K SHANMUGAVELU PT (OWNER)
(313) 945-9380
Entity
Organization
Contact information
Practice address
13530 MICHIGAN AVE, SUITE 150, DEARBORN, MI 48126
(313) 945-9380
(313) 945-9184
Mailing address
13530 MICHIGAN AVE, SUITE 150, DEARBORN, MI 48126
(313) 945-9380
(313) 945-9184
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
08/14/2006
Last updated
12/17/2008
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