Jaison Varghese

NPI #1891102133 in Whitmore Lake, Michigan

Provider Information

NPI Number: 1891102133
Entity Type: Individual
Name: Jaison Varghese
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapist
Enumeration Date: Jul 18, 2014
Last Updated: Jul 18, 2014

Practice Location

Address: 426 WESTBROOK
City: Whitmore Lake
State: Michigan
ZIP Code: 48189-8211
Phone: (734) 546-7510

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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