Thota Mudali RPT

NPI 1093902389 - Physical Therapist - 225100000X

NPI Details
NPI 1093902389
Gender Male
Enumeration Date 10/01/2007
Last Updated 10/01/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
22234 FORD RD
DEARBORN HEIGHTS MI, 48127-2495, US
Phone (313) 792-9330
Fax (313) 277-7599
Business Location
22234 FORD RD
DEARBORN HEIGHTS MI, 48127-2495, US
Phone (313) 792-9330
Fax (313) 277-7599
Toxanomy
Taxonomy Code 225100000X
License State Michigan
License Number 5501006348
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According to our database, Mr. Thota Mudali RPT NPI is 1093902389, taxonomy code is 225100000X and license number is 5501006348, license state is located at Michigan. Thota Mudali RPT physically located at 22234 Ford Rd, Dearborn Heights MI, 48127-2495. NPI Number Thota Mudali RPT has the Individual type.

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1093902389 NPI number is provided on an as is basis without warranty of any kind. 1093902389 is maintained by the National Plan & Provider Enumeration System. The contents of Thota Mudali RPT are for informational purposes only.