Organization
GAIT AND BALANCE CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAJENDRAN THANGAMUTHU (PRESIDENT)
(586) 228-7000
Entity
Organization
Contact information
Practice address
43351 COMMONS DR, CLINTON TWP, MI 48038-1109
(586) 228-7000
Mailing address
43351 COMMONS DR, CLINTON TWP, MI 48038-1109
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501007987
MI
Other
Enumeration date
03/09/2007
Last updated
08/22/2020
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