| Doctor Name: | MR. ANURAG TANEJA |
| NPI Number: | 1427299155 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MSPT |
| License Number: | 5501013302 |
| Business Practice Address: | 13631 W 11 Mile Rd Oak Park, MI - 482371151 |
| Business Phone Number: | 2482980433 |
| Business Fax Number: | 2482980434 |
| Mailing Address: | 2580 Oxford Rd, Apartment B8 BERKLEY |
| State: | MI |
| Postal Code: | 480721540 |
| Phone Number: | 2149340531 |
| Fax Number: | |
| NPI Enumeration Date: | 03/09/2009 |
| NPI Last Update Date: | 03/09/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 5501013302 |
| 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 |