Neetha Ajay Mathew
Clinic/Center, Physical Therapy in Fraser, MI. Individual provider (NPI-1).
NPI number1669977666
StatusActive
Last updated in NPPESMar 29, 2018
Details
- NPI
- 1669977666
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Neetha Ajay Mathew
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Mar 29, 2018
- Last updated
- Mar 29, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QP2000X | Clinic/Center, Physical Therapy | – | – | Yes |
Practice location
33300 Utica RdFraser, MI 48026-2017
Phone 586-294-3095
Mailing address
53755 Baldwin CtShelby Township, MI 48315-1666
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Physical Therapy Clinic/Center providers in Fraser, MI
Checking a whole list?
Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.