Individual
MR. KRISHNA MOORTHY RAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
3601 W 13 MILE RD, ROYAL OAK, MI 48073-6712
(248) 898-2456
Mailing address
3601 W 13 MILE RD, ROYAL OAK, MI 48073-6712
(248) 898-2456
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
5501007637
MI
Other
Enumeration date
02/21/2018
Last updated
02/21/2018
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