Soundararajan Duraisamy, | |
900 Cooper St, Jackson, MI 49202-3398 | |
(517) 780-9500 | |
Not Available |
Full Name | Soundararajan Duraisamy |
---|---|
Gender | Male |
Speciality | Physical Therapist - Geriatrics |
Location | 900 Cooper St, Jackson, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1801362272 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2251G0304X | Physical Therapist - Geriatrics | 5501014241 (Michigan) | Primary |
Provider Name | Theracare Rehab, Llc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1295965911 PECOS PAC ID: 8123173028 Enrollment ID: O20090828000169 |
Mailing Address | Practice Location Address |
---|---|
Soundararajan Duraisamy, 1842 Steeplechase Rd, Canton, MI 48188-2565 Ph: (517) 862-6648 | Soundararajan Duraisamy, 900 Cooper St, Jackson, MI 49202-3398 Ph: (517) 780-9500 |
Kathleen Zager-doxey, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5025 Ann Arbor Rd, Jackson, MI 49201 Phone: 517-879-1505 | |
Sydney K Hooks, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2973 Springport Rd, Jackson, MI 49201 Phone: 517-435-3461 Fax: 517-768-9951 | |
Jerome C Malone, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 206 Page Ave, Jackson, MI 49201 Phone: 517-783-6670 Fax: 517-783-5310 | |
Robin Lynn Webster, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2151 Ferguson Rd, Suite 101, Jackson, MI 49203 Phone: 517-748-7747 Fax: 517-748-7745 | |
Dillon Ommodt, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2973 Springport Rd, Jackson, MI 49201 Phone: 517-435-3461 Fax: 517-768-9951 | |
Ghanshyambhai K Gadhiya, RPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 766 W Michigan Ave, Jackson, MI 49201 Phone: 517-796-8200 | |
Namita Damaraju, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 205 N East Ave, Jackson, MI 49201 Phone: 517-782-4000 |