Individual
MRS. NEETHA AJAY MATHEW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
33300 UTICA RD, FRASER, MI 48026-2017
(586) 294-3095
Mailing address
53755 BALDWIN CT, SHELBY TOWNSHIP, MI 48315-1666
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
03/29/2018
Last updated
03/29/2018
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