Search › Michigan › 225100000X
Sanju Koithara, BACHELORS IN PT
NPI 1699051557 · on the registry since 2011 · sole proprietor
Practice
- Address
- 2644 Balsam Way Drive
Sterling Heights, MI 48314 - Phone
- (248) 797-0741
- Fax
- (586) 797-9006
Registry record
- Primary taxonomy
- 225100000X
225100000X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2011-10-24
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan