MARIVENKATESH BALAMANICKAM

Physical Therapist

NPI: 1417101080IndividualAccepts Medicare

Specialties, Licenses & Credentials

Physical TherapistPrimary

Physical Therapist

Code: 225100000X

5501013805(MI)

CMS Specialties

PrimaryPHYSICAL THERAPIST IN PRIVATE PRACTICE

Education

OTHER

Class of 2002

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Contact & Hours

Address: 235 E MAIN ST, SUITE 104
NORTHVILLE, MI 48167
Phone: (248) 349-5050

Quick Facts

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

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