Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Githu Pokkamthanam George

Individual provider Physical Therapy Assistant · NPI 1265192785

Mr. Githu Pokkamthanam George is a Physical Therapy Assistant in Detroit, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2021
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Practice location Address checks out

9500 Grand River Ave
Detroit, MI 48204-2132
Phone: (678) 522-1084
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 5502002824 (MI)

Record details

NPI number1265192785
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedDecember 23, 2021
Last updated in NPPESDecember 23, 2021
Certification dateDecember 23, 2021

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