| Doctor Name: | MR. SRINIVASU SEELAM |
| NPI Number: | 1669709796 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | B.P.T |
| License Number: | 5501014016 |
| Business Practice Address: | 23600 Harper Ave Shttps://nppes.cms.hhs.gov/nppes/addressstnd.douite 101 Saint Clair Shores, MI - 480801445 |
| Business Phone Number: | 5864471327 |
| Business Fax Number: | |
| Mailing Address: | 1615 E 13 Mile Rd, Apt 101 MADISON HEIGHTS |
| State: | MI |
| Postal Code: | 480715020 |
| Phone Number: | 2157609071 |
| Fax Number: | 2482120879 |
| NPI Enumeration Date: | 11/10/2009 |
| NPI Last Update Date: | 11/10/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 5501014016 |
| 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 |