Basic Information
| Provider Information | |||||||||
| NPI: | 1083119069 | ||||||||
| EntityType: | 1 | ||||||||
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| LastName: | DUBEY | ||||||||
| FirstName: | ANKITA | ||||||||
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| Mailing Information | |||||||||
| Address1: | 33925 PONDVIEW CIR | ||||||||
| Address2: | |||||||||
| City: | LIVONIA | ||||||||
| State: | MI | ||||||||
| PostalCode: | 481521474 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6365334880 | ||||||||
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| Practice Location | |||||||||
| Address1: | 21450 ARCHWOOD CIR | ||||||||
| Address2: | |||||||||
| City: | FARMINGTON HILLS | ||||||||
| State: | MI | ||||||||
| PostalCode: | 483364127 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2484266926 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 03/29/2018 | ||||||||
| LastUpdateDate: | 03/29/2018 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 225100000X | 5501017267 | MI | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist |
No ID Information.