Individual
SITARAM KIRAN GHATTAMANENI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
705 S MAIN ST, STE. 220, PLYMOUTH, MI 48170-2089
(734) 354-8000
Mailing address
705 S MAIN ST, STE. 220, PLYMOUTH, MI 48170-2089
(734) 354-8000
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5502002826
MI
Other
Enumeration date
09/17/2012
Last updated
09/17/2012
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