Provider Demographics
NPI:1669595062
Name:NAVAROSE, DHANARANI (PT)
Entity type:Individual
Prefix:MRS
First Name:DHANARANI
Middle Name:
Last Name:NAVAROSE
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 1:7686 CHERRYWOOD DR
Mailing Address - Street 2:
Mailing Address - City:WESTLAND
Mailing Address - State:MI
Mailing Address - Zip Code:48185-7695
Mailing Address - Country:US
Mailing Address - Phone:734-634-0864
Mailing Address - Fax:
Practice Address - Street 1:7686 CHERRYWOOD DR
Practice Address - Street 2:
Practice Address - City:WESTLAND
Practice Address - State:MI
Practice Address - Zip Code:48185-7695
Practice Address - Country:US
Practice Address - Phone:734-634-0864
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5501007425261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI0N29980Medicare ID - Type UnspecifiedPHYSICALTHERAPIST