Individual
DUDEESH PURUSHOTHAMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
25032 AVON CT, NOVI, MI 48374-3165
(248) 565-5487
Mailing address
25032 AVON CT, NOVI, MI 48374-3165
(248) 565-5487
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501014354
MI
Other
Enumeration date
04/16/2018
Last updated
04/16/2018
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