Individual
BASKARAN THANGARASAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
22011 ECORSE ROAD, RESTORATIVE THERAPY SERVICE, INC, TAYLOR, MI 48180
(313) 299-0870
Mailing address
39348 POLO CLUB DR APT 106, FARMINGTON HILLS, MI 48335-5635
(517) 775-6552
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501008475
MI
Other
Enumeration date
05/28/2009
Last updated
05/28/2009
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