Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kanchana Malaa Mohanram, PT

Individual provider Physical Therapist · NPI 1578035366

Kanchana Malaa Mohanram, PT is a Physical Therapist in Madison Heights, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2018
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

1410 E 14 Mile Rd
Madison Heights, MI 48071-1541
Phone: (313) 475-3751
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 5501006885 (MI)

Record details

NPI number1578035366
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorYes
NPI enumeratedDecember 18, 2018
Last updated in NPPESDecember 18, 2018

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