Individual
RIMA M RAJKOTIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
801 W ANN ARBOR TRL STE 200, PLYMOUTH, MI 48170-1694
(224) 381-8017
Mailing address
5316 APPLESEED WAY, INDIANAPOLIS, IN 46217-3518
(224) 381-8017
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
22006992A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22006992A
SPEECH PATHOLOGIST IN LICENSE NUMBER
IN
Enumeration date
03/09/2019
Last updated
03/09/2019
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