Individual
BAHITHA RITA UTHUP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2799 W GRAND BLVD, DETROIT, MI 48202-2608
(313) 916-8127
Mailing address
4038 HANOVER DR, TROY, MI 48085-4700
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501012669
MI
Other
Enumeration date
02/27/2018
Last updated
03/23/2021
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