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Individual

NIRUPA SUVARNA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2210 CORA ST, APARTMENT NUMBER 8, WYANDOTTE, MI 48192-4348
(732) 789-0522
Mailing address
2210 CORA ST, APARTMENT NUMBER 8, WYANDOTTE, MI 48192-4348
(732) 789-0522

Taxonomy

Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
Primary
5501014869
MI

Other

Enumeration date
04/21/2015
Last updated
04/21/2015
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