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NPI Code Detail

MEDICARE: NIMMY M VARUGHESE P.T.

MEDICARE: NIMMY M VARUGHESE P.T.
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 Therapist5501016162MI

General Provider Information

NPI Number : 1942549175
Entity Type Code : Individual
Provider Name (Legal Business Name) : NIMMY M VARUGHESE P.T.
Provider Business Mailing Address
First Line : 43740 GARFIELD
Second Line :
City : CLINTON TOWNSHIP
State : MI
Zip : 48038
Country : US
Telephone Number : 586-949-0123
Fax Number : 586-228-9019
Provider Business Practice Location Address
First Line : 28098 23 MILE RD
Second Line :
City : CHESTERFIELD
State : MI
Zip : 48051-2316
Country : US
Telephone Number : 586-949-0123
Fax Number : 586-228-9019
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/07/2013
Last Update Date : 02/07/2013

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Directions to “ NIMMY M VARUGHESE P.T.” Practice Location

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