Individual
MR. JEJI KURIAN MATHEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
22811 W 7 MILE RD, DETROIT, MI 48219-1739
(313) 534-1440
Mailing address
4038 HANOVER DR, TROY, MI 48085-4700
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501009700
MI
Other
Enumeration date
02/27/2018
Last updated
02/27/2018
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