Individual
AJAY P DESHMUKH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPT
Contact information
Practice address
29270 MORLOCK ST, LIVONIA, MI 48152-2044
(248) 476-0555
Mailing address
38568 EMERALD LN N, WESTLAND, MI 48185-7636
(734) 578-1941
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501004589
MI
Other
Enumeration date
12/01/2018
Last updated
12/01/2018
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