Jesudian Boddu, DPT

NPI 1831315712 · on the registry since 2007 · sole proprietor

Practice

Address: 1447 E Grand River Ave
Portland, MI 48875
Phone: (517) 647-1000
Organisation at this address: Horizon Psychological Services, Pllc.
Health Source Physical Therapy Center, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 4

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: 2007-07-08

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