Most Relevant Information
Provider Data
| NPI Number: | 1003023466 |
| Provider Name: | VIJAY MISHRA OTR |
| Entity Type: | Individual |
| Taxonomy Code: | 225X00000X |
| Specialty: | Occupational Therapist |
| License Number: | 5201003359 |
Most Important Dates
| Enumeration Date: | 05/16/2007 |
| Last Updated: | 11/03/2010 |
Provider Practice Location
840 CRESTON DR
TROY
MI
480853261
Practice Location Phone/Fax
| Phone: | 5868725133 |
| Fax: |
Provider Mailing Location
840 CRESTON DR
TROY
MI
480853261
Provider Mailing Phone/Fax
| Phone: | 5868725133 |
| Fax: |