Individual
JATINKUMAR VAGHASIYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
15565 NORTHLAND DR, SUITE 103W, SOUTHFIELD, MI 48075
(248) 809-2094
Mailing address
15565 NORTHLAND DR, SUITE 103W, SOUTHFIELD, MI 48075
(248) 809-2094
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501014937
MI
Other
Enumeration date
11/12/2014
Last updated
11/12/2014
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