Individual
JYOTHI PADALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
21450 ARCHWOOD CIR, FARMINGTON HILLS, MI 48336-4127
(248) 426-6928
Mailing address
43779 PRESTWICK CIR S, NORTHVILLE, MI 48168-5016
(618) 541-7837
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501013783
MI
Other
Enumeration date
03/23/2018
Last updated
03/23/2018
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