Individual
MR. GOVINDARAJU ANBUSELVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
5407 MICHIGAN AVE, DETROIT, MI 48210-3033
(313) 894-4106
(313) 894-7374
Mailing address
28105 DECLARATION RD, NOVI, MI 48377-2546
(248) 449-7281
(313) 894-7374
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501007049
MI
Other
Enumeration date
03/12/2007
Last updated
07/08/2007
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