Individual
BIJU NOCHIYIL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6294 WOODLAND DR, CANTON, MI 48187-5626
(517) 414-1846
Mailing address
6294 WOODLAND DR, CANTON, MI 48187-5626
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NA
NA
—
Enumeration date
03/30/2018
Last updated
03/30/2018
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