Manju Vani Vegesna, PT
Physical Therapist in Farmington Hills, MI. Individual provider (NPI-1).
NPI number1982175758
StatusActive
Last updated in NPPESFeb 21, 2021
Details
- NPI
- 1982175758
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Manju Vani Vegesna
- Credential
- PT
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 5, 2018
- Certification date
- Feb 21, 2021
- Last updated
- Feb 21, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 5501008897 | MI | Yes |
Practice location
28050 Grand River AveFarmington Hills, MI 48336-5919
Phone 947-521-8000
Mailing address
25771 Abbey DrNovi, MI 48374-2373
Phone 248-596-1828
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