Most Relevant Information
Provider Data
| NPI Number: | 1003303710 |
| Provider Name: | THAMILARASI SUBRAMANIAN |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: | 5501008057 |
Most Important Dates
| Enumeration Date: | 04/18/2018 |
| Last Updated: | 04/18/2018 |
Provider Practice Location
50 N PERRY ST
PONTIAC
MI
483422217
Practice Location Phone/Fax
| Phone: | 2483385000 |
| Fax: |
Provider Mailing Location
50 N PERRY ST
PONTIAC
MI
483422217
Provider Mailing Phone/Fax
| Phone: | 2483385000 |
| Fax: |