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Individual

DHAVALKUMAR MODI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
228 W CHICAGO RD, STURGIS, MI 49091-1709
(269) 651-2550
Mailing address
228 W CHICAGO RD, STURGIS, MI 49091-1709
(269) 651-2550

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501013152
MI

Other

Enumeration date
10/29/2007
Last updated
10/29/2007
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