Doctor Name: | GANESHKUMAR SHANMUGASUNDARAM |
NPI Number: | 1902939895 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | RPT |
License Number: | 5501009846 |
Business Practice Address: | 43750 Woodward Ave Ste 103 Bloomfield Hills, MI - 48302 |
Business Phone Number: | 2483349003 |
Business Fax Number: | 2483349003 |
Mailing Address: | 17970 White Plains, MACOMB |
State: | MI |
Postal Code: | 48044 |
Phone Number: | 5863449477 |
Fax Number: | 5862743459 |
NPI Enumeration Date: | 03/13/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 5501009846 |
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 |