GITHU POKKAMTHANAM GEORGE

DETROIT, MI
NPI1265192785
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: MI  5502002824)
Enumeration Date2021-12-23
Last Update Date2021-12-23
Business Address
Mr. GITHU POKKAMTHANAM GEORGE
9500 GRAND RIVER AVE
DETROIT, MI 48204-2132
Phone number: 678-522-1084
Mailing Address
Mr. GITHU POKKAMTHANAM GEORGE
41039 SCARBOROUGH LN
NOVI, MI 48375-2889
Phone number: 678-522-1084