Individual
MR. CHINTHANA HERATH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPT
Contact information
Practice address
23719 CORA AVENUE., FARMINGTON HILLS, MI 48336
(248) 302-3601
Mailing address
23719 CORA AVENUE., FARMINGTON HILLS, MI 48336
(248) 302-3601
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501005918
MI
Other
Enumeration date
03/31/2008
Last updated
10/09/2014
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