Organization
MANUAL PHYSICAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JANANTIK N PANDYA I (PRESIDENT)
(248) 890-9325
Entity
Organization
Contact information
Practice address
38765 MOUND RD, SUITE 101, STERLING HEIGHTS, MI 48310-3209
(248) 727-2057
Mailing address
38765 MOUND RD, SUITE 101, STERLING HEIGHTS, MI 48310-3209
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
07/29/2016
Last updated
07/29/2016
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