| Phsycal Therapy | |
|
17220 W 12 Mile Rd # 140, Southfield, MI 48076-2114 | |
| (313) 948-5354 | |
| Not Available |
| Full Name | Phsycal Therapy |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 17220 W 12 Mile Rd # 140, Southfield, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801317409 | NPI | - | NPPES |
| 550104432 | Other | MI | AUTO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 5501014432 (Michigan) | Primary |
| Provider Name | Presley C Varghese |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1336399393 PECOS PAC ID: 2769649904 Enrollment ID: I20120131000445 |
| Provider Name | Viswanatha R Mukkamalla |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1629572805 PECOS PAC ID: 1052642279 Enrollment ID: I20191018001298 |
| Mailing Address | Practice Location Address |
|---|---|
| Phsycal Therapy 17220 W 12 Mile Rd # 140, Southfield, MI 48076-2114 Ph: (313) 948-5354 | Phsycal Therapy 17220 W 12 Mile Rd # 140, Southfield, MI 48076-2114 Ph: (313) 948-5354 |
Ashtiaq Khokhar, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 23999 Northwestern Hwy, Southfield, MI 48075 Phone: 248-304-1100 | |
Thomas Chung, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 26025 Lahser Rd, Southfield, MI 48033 Phone: 248-663-1910 Fax: 248-849-0190 | |
Briana Keller, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 23800 W 10 Mile Rd Ste 193, Southfield, MI 48033 Phone: 248-827-1100 Fax: 248-827-1120 | |
Paige Robinson, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 23800 W 10 Mile Rd Ste 193, Southfield, MI 48033 Phone: 248-827-1100 Fax: 248-827-1120 | |
Toms K Mathew, RPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 28309 Franklin Rd, Southfield, MI 48034 Phone: 248-208-6100 Fax: 248-208-6119 | |
Jaspal Kaur, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 24681 Northwestern Hwy, Sut 103, Southfield, MI 48075 Phone: 248-809-9360 | |
Lahser Medical Campus Physical Therapy Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 27207 Lahser Rd Ste 106, Southfield, MI 48034 Phone: 248-948-9448 |