GOWTAMI DATLA

SAGINAW, MI
NPI1275022840
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: MI  5501017837)
Enumeration Date2018-05-09
Last Update Date2018-05-09
Business Address
Miss GOWTAMI DATLA PT
515 N MICHIGAN AVE
SAGINAW, MI 48602-4316
Phone number: 313-819-1015
Mailing Address
Miss GOWTAMI DATLA PT
5100 PHEASANT RUN DR APT 2
SAGINAW, MI 48638-6361
Phone number: 313-819-1015