Individual
BHAVISHA YOGESH TALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
22700 GREATER MACK AVE, SAINT CLAIR SHORES, MI 48080-2016
(586) 443-4910
Mailing address
608 - 3150 DONNELLY STREET, WINDSOR, ON N9C4E-3
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501303306
MI
Other
Enumeration date
07/01/2024
Last updated
07/01/2024
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