Individual
JAI BHAGWANJI BHAWSAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
15636 SOUTHFIELD RD, ALLEN PARK, MI 48101-2513
(313) 928-0700
Mailing address
2159 NORTH LOVINGTON DRIVE, APT # 202, TROY, MI 48083
(586) 214-1758
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
L2504876
MI
Other
Enumeration date
06/28/2013
Last updated
06/30/2013
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