MARIVENKATESH BALAMANICKAM

NORTHVILLE, MI
NPI1417101080
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: MI  5501013805)
Enumeration Date2008-11-10
Last Update Date2008-11-10
Business Address
-- MARIVENKATESH BALAMANICKAM
235 E MAIN ST SUITE 104
NORTHVILLE, MI 48167-2494
Phone number: 248-349-5050
Mailing Address
-- MARIVENKATESH BALAMANICKAM
235 E MAIN ST SUITE 104
NORTHVILLE, MI 48167-2494
Phone number:
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