Individual
MS. BHAGYA LAXMI KINTHALI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
14710 W WARREN AVE STE B, DEARBORN, MI 48126-1347
(313) 584-2873
(313) 528-4693
Mailing address
14710 W WARREN AVE STE B, DEARBORN, MI 48126-1347
(313) 584-2873
(313) 528-4693
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501014143
MI
Other
Enumeration date
12/21/2010
Last updated
09/03/2021
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