| NPI | 1417248485 |
|---|---|
| Former Name | THIYAGARAJAN K |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MI 5501015141) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 033476) |
| 225100000X Physical Therapist (Licence: NC P21446) | |
| Enumeration Date | 2011-04-26 |
| Last Update Date | 2024-06-10 |