| Doctor Name: | SIDDHARTHA LOKNATH ANCHAN |
| NPI Number: | 1710286091 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PT |
| License Number: | |
| Business Practice Address: | 29525 Ford Rd Garden City, MI - 481352319 |
| Business Phone Number: | 7342663400 |
| Business Fax Number: | |
| Mailing Address: | 1960 Golfview Dr, Apt 108 TROY |
| State: | MI |
| Postal Code: | 480843835 |
| Phone Number: | 2486317531 |
| Fax Number: | |
| NPI Enumeration Date: | 03/25/2011 |
| NPI Last Update Date: | 03/25/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| 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 |