Individual
GOTHAMIE UDAYAKANTHI SENEVIRATNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8380 GEDDES RD, YPSILANTI, MI 48198-9404
(734) 547-7632
Mailing address
19220 FLAMINGO BLVD, LIVONIA, MI 48152-1709
(248) 474-4439
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
L1821646
MI
Other
Enumeration date
07/30/2010
Last updated
07/30/2010
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