Individual
MR. JAYADEEPSINH RAJENDRASINH RATHOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPT
Contact information
Practice address
43973 NOWLAND DRIVE, CANTON, MI 48188
(248) 304-1900
(989) 772-7750
Mailing address
43973 NOWLAND DRIVE, CANTON, MI 48188
(248) 304-1900
(989) 772-7750
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501013850
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5501013850
STATE OF MICHIGAN
MI
Enumeration date
07/28/2010
Last updated
07/27/2020
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