Individual
MANOJ KUMAR VELAGANDULA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2271 SHORE HILL DR, WEST BLOOMFIELD, MI 48323-1967
(408) 718-3732
Mailing address
2271 SHORE HILL DR, WEST BLOOMFIELD, MI 48323-1967
(408) 718-3732
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5502005213
MI
Other
Enumeration date
10/02/2018
Last updated
10/02/2018
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