Most Relevant Information
Provider Data
| NPI Number: | 1003487265 |
| Provider Name: | SACHIN VENKATACHALAM PT |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: | 5501019971 |
Most Important Dates
| Enumeration Date: | 07/08/2021 |
| Last Updated: | 07/08/2021 |
Provider Practice Location
23829 LITTLE MACK AVE STE 100
SAINT CLAIR SHORES
MI
480801186
Practice Location Phone/Fax
| Phone: | 5867731300 |
| Fax: |
Provider Mailing Location
23829 LITTLE MACK AVE STE 100
SAINT CLAIR SHORES
MI
480801186
Provider Mailing Phone/Fax
| Phone: | 5867731300 |
| Fax: | 5867731600 |