Individual
MR. WIMAL JAYAKODY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHYSICAL THERAPIST
Contact information
Practice address
1259 AZIZ DR, CANTON, MI 48188-5092
(734) 846-7183
Mailing address
1259 AZIZ DR, CANTON, MI 48188-5092
(734) 846-7183
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
5501005942
MI
Other
Enumeration date
12/16/2018
Last updated
12/16/2018
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