Individual
HONEY CHEMPITHANAM JACOB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHYSICAL THERAPIST
Contact information
Practice address
6700 W OUTER DR, DETROIT, MI 48235-2724
(313) 836-1700
Mailing address
1701 PINE FOREST DR, COMMERCE TOWNSHIP, MI 48390-2221
(248) 504-7955
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501014322
MI
Other
Enumeration date
03/16/2018
Last updated
03/16/2018
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