KISHORE JEEVANANDAM

LIVONIA, MI
NPI1740578095
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: MI  5501009887)
Enumeration Date2011-07-20
Last Update Date2011-10-31
Business Address
-- KISHORE JEEVANANDAM PT
20319 FARMINGTON RD
LIVONIA, MI 48152-1411
Phone number: 248-476-8911
Mailing Address
-- KISHORE JEEVANANDAM PT
4181 BRIGHTON LN
CANTON, MI 48188-7202
Phone number: 313-414-1042