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1619470473
DHEERAJ KOTHAKONDA
ROCHESTER HILLS, MI
NPI
1619470473
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: MI 5501015018)
Enumeration Date
2018-03-17
Last Update Date
2018-03-17
Business Address
Mr. DHEERAJ KOTHAKONDA
873 W AVON RD
ROCHESTER HILLS, MI 48307-2705
Phone number: 248-656-6331
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Mailing Address
Mr. DHEERAJ KOTHAKONDA
2642 BEACON HILL DR APT 103
AUBURN HILLS, MI 48326-3726
Phone number:
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