Individual
MR. SARAVANAN BALASUBRAMANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, MS
Contact information
Practice address
1316 E 7TH ST, AUBURN, IN 46706-2523
(260) 920-2632
Mailing address
3336 VANTAGE POINT DR, APT 2A, FORT WAYNE, IN 46825-7326
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05009712A
IN
225100000X
Physical Therapist
5501014040
MI
Other
Enumeration date
10/07/2011
Last updated
10/07/2011
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