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MARIVENKATESH BALAMANICKAM

Physical Therapist

NPI: 1417101080IndividualAccepts Medicare

Specialties, Licenses & Credentials

Physical TherapistPrimary

Physical Therapist

Code: 225100000X

5501013805(MI)

Education

OTHER

Class of 2002

Contact & Hours

Address
235 E MAIN ST, SUITE 104
NORTHVILLE, MI 48167

Quick Facts

NPI
1417101080
Entity Type
Individual
Gender
Male
Medicare
Accepted
Specialties
1
Locations
1
Years in Practice
24

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