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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KANCHANA MALAA MOHANRAM, PT

Active Sole Proprietor

KANCHANA MALAA MOHANRAM, PT is a Physical Therapy Assistant healthcare provider located in MADISON HEIGHTS, Michigan. NPI 1578035366 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · MADISON HEIGHTS, MI

Registration Details

NPI Number
1578035366
Provider Type
Individual
Gender
Female
NPI Issued
Dec 18, 2018 (7.659648854492 yrs)
Last Updated
Dec 18, 2018
License
5501006885 (MI)
Sole Proprietor
Yes

Practice Information

Address
1410 E 14 MILE RD
MADISON HEIGHTS, MI, 480711541
Browse MI providers · Browse ZIP 48071
Phone
3134753751
Primary Specialty
Physical Therapy Assistant
225100000X

Other Physical Therapy Assistant Providers in MADISON HEIGHTS, MI

Name Credential NPI
MR. WILLIAM HOWARD DWIGHT PT 1093729949
MRS. RUTH HOSKINS-DWIGHT PT 1720099880
TRACY L. SMILES M.P.T. 1093812950
GULZAR AHMAD P.T. 1588743355
MR. ARNOLD A SLOMINSKI PT 1437220100
MR. MOSES P. BENNY P.T. 1144362682
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.