Doctor Name: | MR. NALLI RAVI |
NPI Number: | 1750550133 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | P.T |
License Number: | 5501006117 |
Business Practice Address: | 21928 John R Rd Hazel Park, MI - 480302021 |
Business Phone Number: | 2486919001 |
Business Fax Number: | 2486919002 |
Mailing Address: | 21928 John R Rd, HAZEL PARK |
State: | MI |
Postal Code: | 480302021 |
Phone Number: | 2486919001 |
Fax Number: | 2486919002 |
NPI Enumeration Date: | 02/29/2008 |
NPI Last Update Date: | 02/29/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 5501006117 |
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 |