TINO RAJU MANIMALETHU

LOUISVILLE, KY
NPI1639417512
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: MI  5502003615)
Enumeration Date2013-01-28
Last Update Date2013-01-28
Business Address
-- TINO RAJU MANIMALETHU
303 N HURSTBOURNE PKWY SUITE 200,PARAGON REHABILITATION
LOUISVILLE, KY 40222-5185
Phone number: 502-412-5847
Mailing Address
-- TINO RAJU MANIMALETHU
49650 LAKEBRIDGE DR
SHELBY TWP, MI 48315-3511
Phone number: 586-737-7144