Individual
BALAJI GANAPATHY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT,DPT
Contact information
Practice address
46765 SPRINGWOOD DR, MACOMB, MI 48044-3575
(586) 228-9372
(586) 228-9372
Mailing address
46765 SPRINGWOOD DR, MACOMB, MI 48044-3575
(586) 228-9372
(586) 228-9372
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501006816
MI
Other
Enumeration date
03/26/2009
Last updated
03/26/2009
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