Individual
DAVIS VARDUNNY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
18535 W 12 MILE RD, SUITE B, LATHRUP VILLAGE, MI 48076-2676
(248) 552-3740
(248) 552-3744
Mailing address
24217 GRAND TRAVERSE AVE, FLAT ROCK, MI 48134-8051
(248) 552-3740
(248) 552-3744
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
5502000088
MI
Other
Enumeration date
11/20/2013
Last updated
11/20/2013
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