Individual
BINDU THAMMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1994 TALL PINES DR SE, GRAND RAPIDS, MI 49546-7922
(616) 942-0922
Mailing address
1994 TALL PINES DR SE, GRAND RAPIDS, MI 49546-7922
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501006347
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5501006347
STATE OF MICHIGAN
MI
Enumeration date
03/27/2008
Last updated
11/13/2014
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