Jims Thankachan Varghese P.T.

NPI 1063722676 - Physical Therapist - 225100000X

NPI Details
NPI 1063722676
Gender Male
Enumeration Date 10/15/2010
Last Updated 01/05/2016
Entity Type Individual
Active Over 6 years ago
Practice Location
800 W LONG LAKE RD
STE 103
BLOOMFIELD HILLS MI, 48302-2033, US
Phone (248) 280-0900
Fax (248) 282-8416
Business Location
800 W LONG LAKE RD
STE 103
BLOOMFIELD HILLS MI, 48302-2033, US
Phone (248) 480-0900
Fax (248) 352-5765
Toxanomy
Taxonomy Code 225100000X
License State Michigan
License Number 5501014403
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According to our database, Mr. Jims Thankachan Varghese P.T. NPI is 1063722676, taxonomy code is 225100000X and license number is 5501014403, license state is located at Michigan. Jims Thankachan Varghese P.T. physically located at 800 W Long Lake Rd, Bloomfield Hills MI, 48302-2033. NPI Number Jims Thankachan Varghese P.T. has the Individual type.

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1063722676 NPI number is provided on an as is basis without warranty of any kind. 1063722676 is maintained by the National Plan & Provider Enumeration System. The contents of Jims Thankachan Varghese P.T. are for informational purposes only.