Provider Demographics
NPI:1073734497
Name:BICHAKJIAN, MARIA RUMI (PT)
Entity Type:Individual
Prefix:MRS
First Name:MARIA
Middle Name:RUMI
Last Name:BICHAKJIAN
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1495 FOLKSTONE CT
Mailing Address - Street 2:
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48105-2847
Mailing Address - Country:US
Mailing Address - Phone:734-994-5781
Mailing Address - Fax:
Practice Address - Street 1:555 MILLS RD
Practice Address - Street 2:
Practice Address - City:SALINE
Practice Address - State:MI
Practice Address - Zip Code:48176-1128
Practice Address - Country:US
Practice Address - Phone:734-429-8000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5501011183225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist