Individual
CHANDRATILAKA LIYANAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7025 N LILLEY RD, CANTON, MI 48187-3533
(734) 394-3100
Mailing address
7025 N LILLEY RD, CANTON, MI 48187-3533
Taxonomy
Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
Primary
5501006728
MI
Other
Enumeration date
11/16/2018
Last updated
11/16/2018
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