Doctor Name: | MADHAVI PRAKASH VACHHANI |
NPI Number: | 1053567081 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT |
License Number: | 5501013630 |
Business Practice Address: | 29150 Harper Ave Saint Clair Shores, MI - 480811218 |
Business Phone Number: | 5867790911 |
Business Fax Number: | 5867790907 |
Mailing Address: | 11554 E 12 Mile Rd, WARREN |
State: | MI |
Postal Code: | 480932644 |
Phone Number: | 5865580185 |
Fax Number: | 5865587128 |
NPI Enumeration Date: | 08/11/2008 |
NPI Last Update Date: | 08/11/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 5501013630 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |