Individual
JAISON VARGHESE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
426 WESTBROOK, WHITMORE LAKE, MI 48189-8211
(734) 546-7510
Mailing address
426 WESTBROOK, WHITMORE LAKE, MI 48189-8211
(734) 546-7510
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501013599
MI
Other
Enumeration date
07/18/2014
Last updated
07/18/2014
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