Individual
JIMIN THAKKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
28157 DEQUINDRE RD STE A1, MADISON HEIGHTS, MI 48071-3046
(248) 980-1776
Mailing address
596 E BIG BEAVER RD APT 205, TROY, MI 48083-1359
(248) 513-1767
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501013946
MI
Other
Enumeration date
02/06/2013
Last updated
10/15/2023
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