Organization
AQUATICARE PHYSICAL THERAPY P.C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RAJENDRAN THANGAMUTHU PT (PRESIDENT)
(248) 890-8000
Entity
Organization
Contact information
Practice address
20554 HALL RD, CLINTON TOWNSHIP, MI 48038-5326
(586) 868-7000
Mailing address
20554 HALL RD, CLINTON TOWNSHIP, MI 48038-5326
(586) 868-7000
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
5501007987
MI
Other
Enumeration date
02/26/2008
Last updated
10/05/2020
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