JITENDRA SAMAL

CANTON, MI
NPI1598261547
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: MI  5501008554)
Enumeration Date2018-03-30
Last Update Date2018-03-30
Business Address
Mr. JITENDRA SAMAL
1343 KENSINGTON DR
CANTON, MI 48188-3247
Phone number: 313-278-5087
Mailing Address
Mr. JITENDRA SAMAL
1343 KENSINGTON DR
CANTON, MI 48188-3247
Phone number: 313-278-5087