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1053503219
VAISHNAVI SRIVATSAN
DEARBORN, MI
NPI
1053503219
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: MI 5501012912)
Enumeration Date
2007-08-13
Last Update Date
2021-03-16
Business Address
VAISHNAVI SRIVATSAN PT
5500 AUTO CLUB DR
DEARBORN, MI 48126-2779
Phone number: 313-982-8266
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Mailing Address
VAISHNAVI SRIVATSAN PT
4049 FAIRLANE DR
BLOOMFIELD HILLS, MI 48301-3126
Phone number: 248-613-9724
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