Individual
MRS. DURGA DEVAKI MOTHUKURU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
701 S HEALTH PKWY, THREE RIVERS, MI 49093-8352
(269) 278-1145
Mailing address
4435 DOVER HILLS DR APT 101, KALAMAZOO, MI 49009-2714
(708) 903-9099
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501011915
MI
Other
Enumeration date
05/30/2008
Last updated
05/30/2008
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