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1477046365
GAUTHAM KANMANTHREDDY
PLYMOUTH, MI
NPI
1477046365
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: MI 5501013199)
Enumeration Date
2018-06-14
Last Update Date
2018-06-14
Business Address
GAUTHAM KANMANTHREDDY
851 PENNIMAN AVE
PLYMOUTH, MI 48170-1621
Phone number: 248-349-9595
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Mailing Address
GAUTHAM KANMANTHREDDY
851 PENNIMAN AVE
PLYMOUTH, MI 48170-1621
Phone number:
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