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Davis Vardunny, PTA

NPI 1962832402 · on the registry since 2013 · sole proprietor

Practice

Address
18535 W 12 Mile Rd
Suite B
Lathrup Village, MI 48076
Phone
(248) 552-3740
Fax
(248) 552-3744
Organisation at this address
Gilbert Neurological Assoc Pllc
Procare Home Health Services Inc.
Center For Sports Medicine & Fitness, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
3

Registry record

Primary taxonomy
261QP2000X
261QP2000X
Licence states on file
MI
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2013-11-20

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan