Individual
JYOTSNA VIJAY PENDSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
3937 SUN RAPIDS DR, OKEMOS, MI 48864-4503
(517) 347-6071
Mailing address
3937 SUN RAPIDS DR, OKEMOS, MI 48864-4503
(517) 347-6071
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501004933
MI
Other
Enumeration date
02/21/2011
Last updated
02/21/2011
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