Balaji Chandrasekar, PT
Physical Therapist in Detroit, MI. Individual provider (NPI-1).
NPI number1528071735
StatusActive
Last updated in NPPESJun 5, 2018
Details
- NPI
- 1528071735
- Entity type
- Individual (NPI-1)
- Name
- Balaji Chandrasekar
- Credential
- PT
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 15, 2006
- Last updated
- Jun 5, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 5501011684 | MI | Yes |
Practice location
261 Mack AveDetroit, MI 48201
Phone 313-745-1055
Mailing address
261 Mack AveDetroit, MI 48201-2417
Phone 313-745-1055
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