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1639417512
TINO RAJU MANIMALETHU
LOUISVILLE, KY
NPI
1639417512
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: MI 5502003615)
Enumeration Date
2013-01-28
Last Update Date
2013-01-28
Business Address
-- TINO RAJU MANIMALETHU
303 N HURSTBOURNE PKWY SUITE 200,PARAGON REHABILITATION
LOUISVILLE, KY 40222-5185
Phone number: 502-412-5847
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Mailing Address
-- TINO RAJU MANIMALETHU
49650 LAKEBRIDGE DR
SHELBY TWP, MI 48315-3511
Phone number: 586-737-7144
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