Individual
ELANGO KALIAMOORTHY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
2456 PREMIER LN, CANTON, MI 48188-2556
(734) 447-6513
(877) 738-9251
Mailing address
2456 PREMIER LN, CANTON, MI 48188-2556
(173) 444-7651
(877) 738-9251
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501007139
MI
Other
Enumeration date
09/22/2020
Last updated
09/22/2020
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