Individual
REVATHY KALYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
41255 POND VIEW DR, STERLING HEIGHTS, MI 48314-3847
(248) 495-3542
Mailing address
1926 CRIMSON DR, TROY, MI 48083-5544
(248) 495-3542
Taxonomy
Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
Primary
5501010750
MI
Other
Enumeration date
10/17/2014
Last updated
10/17/2014
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