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1912039900
VISWANATHAN VENKATASWAMY
DETROIT, MI
NPI
1912039900
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: MI 5501007322)
Enumeration Date
2007-03-12
Last Update Date
2007-07-08
Business Address
Mr. VISWANATHAN VENKATASWAMY P.T.
5407 MICHIGAN AVE
DETROIT, MI 48210-3033
Phone number: 313-894-4106
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Mailing Address
Mr. VISWANATHAN VENKATASWAMY P.T.
28105 DECLARATION RD
NOVI, MI 48377-2546
Phone number: 248-449-7281
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