Revanth Mopuru
Revanth Mopuru is a Physical Therapist in East Lansing, Michigan. Practices as a sole proprietor. Licensed in Michigan.
- Licensed in
- MI
- In the registry since
- 2016
Practice location Address checks out
2815 Northwind DrEast Lansing, MI 48823-5003
Phone: (517) 332-0817
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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 5501013417 (MI) |
|---|
Record details
| NPI number | 1114371275 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | April 14, 2016 |
| Last updated in NPPES | April 14, 2016 |
| Mailing address | 6140 Hardy Ave Apt 11, East Lansing, MI 48823-1589 |
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