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Organization
RON PHYSICAL THERAPY P.C
Active
Organization
RON PHYSICAL THERAPY P.C
Active
Other names
Ron Physical Therapy P.C
Organization subpart
No
Provider details
NPI number
Authorized official
SUDHAKARAN JEGADEESH PT (PRESIDENT)
(248) 552-1012
Entity
Organization
Contact information
Practice address
17418 W 10 MILE RD, SOUTHFIELD, MI 48075-2951
(248) 552-1012
(248) 552-0657
Mailing address
17418 W 10 MILE RD, SOUTHFIELD, MI 48075-2951
(248) 552-1012
(248) 552-0657
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501007156
MI
Other
Enumeration date
06/05/2007
Last updated
08/22/2020
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