Individual
SOUNDARARAJAN DURAISAMY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
900 COOPER ST, JACKSON, MI 49202-3398
(517) 780-9500
Mailing address
1842 STEEPLECHASE RD, CANTON, MI 48188-2565
(517) 862-6648
Taxonomy
Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
Primary
5501014241
MI
Other
Enumeration date
10/23/2018
Last updated
10/23/2018
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