Individual
KISTUR AJITH JAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
3181 SANDHILL RD, MASON, MI 48854-9425
(517) 336-6060
(517) 336-6050
Mailing address
3181 SANDHILL RD, MASON, MI 48854-9425
(517) 336-6060
(517) 336-6050
Taxonomy
Speciality
Code
Description
License number
State
225000000X
Orthotic Fitter
Primary
5501013601
MI
Other
Enumeration date
04/16/2008
Last updated
04/16/2008
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