Doctor Name: | MISS PRIYANKA SURYAVANSHI |
NPI Number: | 1114239027 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RPT |
License Number: | 5501014424 |
Business Practice Address: | 49114 Van Dyke Ave Shelby Twp, MI - 483171332 |
Business Phone Number: | 5862544040 |
Business Fax Number: | |
Mailing Address: | 620 Hawksmoore Dr, CLARKSTON |
State: | MI |
Postal Code: | 483483628 |
Phone Number: | 2482249772 |
Fax Number: | 2484812128 |
NPI Enumeration Date: | 07/08/2010 |
NPI Last Update Date: | 07/08/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 5501014424 |
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 |