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NPI Code Detail

MEDICARE: VIRENDRA DANU OTR

MEDICARE:   VIRENDRA  DANU  OTR
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225X00000XOccupational Therapist5201004451MI

General Provider Information

NPI Number : 1508892704
Entity Type Code : Individual
Provider Name (Legal Business Name) : VIRENDRA DANU OTR
Provider Business Mailing Address
First Line : 30445 NORTHWESTERN HWY
Second Line : STE 280
City : FARMINGTON HILLS
State : MI
Zip : 48334-3158
Country : US
Telephone Number : 248-865-7380
Fax Number : 248-865-7480
Provider Business Practice Location Address
First Line : 30445 NORTHWESTERN HWY
Second Line : STE 280
City : FARMINGTON HILLS
State : MI
Zip : 48334-3158
Country : US
Telephone Number : 248-865-7380
Fax Number : 248-865-7480
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/23/2006
Last Update Date : 06/08/2009

Similar Medicare Providers

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Directions to “ VIRENDRA DANU OTR” Practice Location

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