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NPI Code Detail

MEDICARE: HARKIRAN SANDHU PT

MEDICARE:   HARKIRAN  SANDHU  PT
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
1225100000XPhysical Therapist5501014512MI

General Provider Information

NPI Number : 1851776678
Entity Type Code : Individual
Provider Name (Legal Business Name) : HARKIRAN SANDHU PT
Provider Business Mailing Address
First Line : 2311 15 MILE RD
Second Line :
City : STERLING HEIGHTS
State : MI
Zip : 48310-4842
Country : US
Telephone Number : 586-439-0015
Fax Number :
Provider Business Practice Location Address
First Line : 2311 15 MILE RD
Second Line :
City : STERLING HEIGHTS
State : MI
Zip : 48310-4842
Country : US
Telephone Number : 586-439-0015
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/22/2015
Last Update Date : 07/22/2015

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