Individual
MRS. ISHITA THAKORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
31150 HOOVER RD STE C, WARREN, MI 48093-7618
(586) 268-1929
Mailing address
44668 BAYVIEW AVE APT 21313, CLINTON TOWNSHIP, MI 48038-7182
(586) 256-1971
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501018146
MI
Other
Enumeration date
05/16/2017
Last updated
05/16/2017
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