Jayachandra Bommareddy

NPI 1790289494 · on the registry since 2018 · sole proprietor

Practice

Address: 17001 17 Mile Rd
Clinton Township, MI 48038
Phone: (586) 286-7100
Organisation at this address: Mission Point Of Clinton Township Llc
Ssc Clinton Township Operating Company Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 9

Registry record

Primary taxonomy: Physical Therapist
225100000X
Licence states on file: MI
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2018-03-19

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