Individual
JONY JOSEPH PUTHENEDATHUMADATHIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPT
Contact information
Practice address
28301 FRANKLIN RD, SUITE A325, SOUTHFIELD, MI 48034-1672
(248) 203-6636
(734) 266-7100
Mailing address
1467 MOMENTUM PL, PO BOX 231467, CHICAGO, IL 60689-5314
(800) 827-3797
(248) 553-2108
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501012939
MI
Other
Enumeration date
05/18/2007
Last updated
07/08/2007
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