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

AXALAN G AXALAN, PHYSICAL THERAPIST

Active

AXALAN G AXALAN, PHYSICAL THERAPIST is a Physical Therapy Assistant healthcare provider located in SAINT CLAIR SHORES, Michigan. NPI 1780174607 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · SAINT CLAIR SHORES, MI

Registration Details

NPI Number
1780174607
Provider Type
Individual
Gender
Male
NPI Issued
May 16, 2018 (8.2153824812485 yrs)
Last Updated
Jun 16, 2018
License
5501014604 (MI)

Practice Information

Address
26001 JEFFERSON AVE
SAINT CLAIR SHORES, MI, 480812309
Browse MI providers · Browse ZIP 48081
Phone
5867797000
Primary Specialty
Physical Therapy Assistant
225100000X

Other Physical Therapy Assistant Providers in SAINT CLAIR SHORES, MI

Name Credential NPI
SMITA R KASTURY BS 1841233665
JAYASHREE P UMAPATHY B.S. 1205863651
JONATHAN NARR P.T. 1376658849
KRISTYN ANN IMESCH MSPT 1477655132
SUCHETHA PANDYA PT 1487746103
MICHAEL W TROMBLEY PT 1306939319
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.