| Doctor Name: | DR. PRATHIMA PEACHERA |
| NPI Number: | 1841409596 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | D.P.T |
| License Number: | 05008285A |
| Business Practice Address: | 4705 Towne Centre Rd Ste 101 Saginaw, MI - 48604 |
| Business Phone Number: | 9894015890 |
| Business Fax Number: | 9894015892 |
| Mailing Address: | 61 Commerce Ave Sw, GRAND RAPIDS |
| State: | MI |
| Postal Code: | 49503 |
| Phone Number: | 6169400660 |
| Fax Number: | 6169401965 |
| NPI Enumeration Date: | 05/21/2007 |
| NPI Last Update Date: | 09/10/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 05008285A |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | IN |
| 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 |