Individual
EDWARD GLADSTON PRAGASAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
900 AUBURN AVE, PONTIAC, MI 48342-3300
(248) 333-3335
(248) 333-7133
Mailing address
900 AUBURN AVE, PONTIAC, MI 48342-3300
(248) 333-3335
(248) 333-7133
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
26005
MD
225100000X
Physical Therapist
Primary
5501012546
MI
Other
Enumeration date
05/14/2009
Last updated
02/28/2017
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