Individual
MISS ITINDER KAUR MANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
8749 BROOKE PARK DR APT 108, CANTON, MI 48187-5103
(408) 981-1503
Mailing address
8749 BROOKE PARK DR APT 108, CANTON, MI 48187-5103
(408) 981-1503
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
10030
CT
225100000X
Physical Therapist
Primary
21680
MA
Other
Enumeration date
04/21/2015
Last updated
04/21/2015
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