Individual
MR. CHANDRADASA SARATH WEERASINGHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
21401 MACK AVE, GROSSE POINTE WOODS, MI 48236-1048
(313) 743-9289
Mailing address
21401 MACK AVE, GROSSE POINTE WOODS, MI 48236-1048
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501007355
MI
Other
Enumeration date
11/14/2018
Last updated
11/14/2018
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