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Individual

BHARATKUMAR H FUMAKIYA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PT

Contact information

Practice address
8409 BROOKE PARK DRIVE, APT 112, CANTON, MI 48187-4078
(214) 620-1267
Mailing address
1095 CANTERBURY CIR, CANTON, MI 48187-3807
(214) 620-1267

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
15713
NC
225100000X
Physical Therapist
Primary
5501015359
MI

Other

Enumeration date
05/04/2016
Last updated
11/01/2019
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