Individual
CHAITANYA DEEPTHI KEDARISETTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
5428 METROPOLITAN PKWY, STERLING HEIGHTS, MI 48310-4103
(586) 977-0001
Mailing address
2213 S LOVINGTON DR, APT 107, TROY, MI 48083-4370
(419) 819-7314
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501014995
MI
Other
Enumeration date
04/02/2010
Last updated
04/02/2010
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