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1386135069
SHANTHI MANICKAM BALAKRISHNAN
CANTON, MI
NPI
1386135069
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
Enumeration Date
2018-05-29
Last Update Date
2018-05-29
Business Address
SHANTHI MANICKAM BALAKRISHNAN
46000 SUMMIT PKWY
CANTON, MI 48188-3268
Phone number: 734-398-7935
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Mailing Address
SHANTHI MANICKAM BALAKRISHNAN
2375 LIBERTY ST S
CANTON, MI 48188-8007
Phone number:
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