Most Relevant Information
Provider Data
| NPI Number: | 1003046392 |
| Provider Name: | NAMITHA KONKI |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: |
Most Important Dates
| Enumeration Date: | 07/21/2009 |
| Last Updated: | 07/21/2009 |
Provider Practice Location
2643 BEACON HILL CT
102
AUBURN HILLS
MI
483264225
Practice Location Phone/Fax
| Phone: | 2482029753 |
| Fax: |
Provider Mailing Location
2643 BEACON HILL CT
102
AUBURN HILLS
MI
483264225
Provider Mailing Phone/Fax
| Phone: | 2482029753 |
| Fax: |