Doctor Name: | AJAY VASANI |
NPI Number: | 1699911669 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | RPT |
License Number: | 5501014183 |
Business Practice Address: | 42536 Hayes Rd 100 Clinton Township, MI - 480386766 |
Business Phone Number: | 5862869644 |
Business Fax Number: | 5862869647 |
Mailing Address: | 291 E Palmer St, DETROIT |
State: | MI |
Postal Code: | 482023823 |
Phone Number: | 9402308567 |
Fax Number: | 5862869647 |
NPI Enumeration Date: | 12/22/2008 |
NPI Last Update Date: | 12/22/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 5501014183 |
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 |