Individual
HAPUWITA R DISSANAYAKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
21005 FARMINGTON RD, SUITE # 201, FARMINGTON HILLS, MI 48336-5083
(248) 579-3610
(248) 442-8520
Mailing address
33278 TALL OAKS CT, FARMINGTON, MI 48336-4548
(248) 579-3610
(248) 442-8520
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501005685
MI
Other
Enumeration date
06/07/2008
Last updated
06/07/2008
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