Individual
JAYAPRAKASH ANNAREDDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHYSICAL THERAPIST
Contact information
Practice address
235 E MAIN ST STE 104, NORTHVILLE, MI 48167-2498
(248) 349-5050
(248) 349-7575
Mailing address
235 E MAIN ST STE 104, NORTHVILLE, MI 48167-2498
(248) 349-5050
(248) 349-7575
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501013612
MI
Other
Enumeration date
05/18/2009
Last updated
05/18/2009
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