Provider Demographics
NPI:1497906879
Name:PANCHAL, BRIJESH RAMESHCHANDRA (PT)
Entity type:Individual
Prefix:
First Name:BRIJESH
Middle Name:RAMESHCHANDRA
Last Name:PANCHAL
Suffix:
Gender:M
Credentials:PT
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Mailing Address - Street 1:6361 TIMBERDALE AVE
Mailing Address - Street 2:
Mailing Address - City:WESLEY CHAPEL
Mailing Address - State:FL
Mailing Address - Zip Code:33545-5382
Mailing Address - Country:US
Mailing Address - Phone:734-231-8352
Mailing Address - Fax:
Practice Address - Street 1:2545 SPRING ARBOR RD
Practice Address - Street 2:
Practice Address - City:JACKSON
Practice Address - State:MI
Practice Address - Zip Code:49203-3793
Practice Address - Country:US
Practice Address - Phone:517-768-0883
Practice Address - Fax:517-768-0673
Is Sole Proprietor?:No
Enumeration Date:2008-10-03
Last Update Date:2024-11-26
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist