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Individual
NISARG VYAS
Active
Individual
NISARG VYAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHYSICAL THERAPIST
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501017649
MI
225200000X
Physical Therapy Assistant
5502004453
MI
Other
Enumeration date
02/22/2016
Last updated
05/25/2021
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