Individual
JOSEPH MANDAPAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHYSICAL THERAPY
Contact information
Practice address
45514 REVERE DR, SHELBY TOWNSHIP, MI 48315-6080
(248) 990-6095
Mailing address
45514 REVERE DR, SHELBY TOWNSHIP, MI 48315-6080
(248) 990-6095
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501016272
MI
Other
Enumeration date
07/24/2014
Last updated
10/25/2016
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