Individual provider · Type 1 NPI

Davis Vardunny, PTA

Physical Therapy Clinic/Center · Lathrup Village, MI

NPI number 1962832402 Active

Practice location

18535 W 12 Mile Rd, Suite B
Lathrup Village, MI 48076-2676

Fax (248) 552-3744

Mailing address

24217 Grand Traverse Ave
Flat Rock, MI 48134-8051

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Clinic/Center Primary 261QP2000X5502000088 (MI)

Physical Therapy Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic and treatment services related to physical rehabilitation. Physical therapy is a dynamic profession with an established theoretical and scientific base and widespread clinical applications in the restoration, maintenance, and promotion of optimal physical function. Physical therapists and physical therapist assistants are licensed health care p…

3 other providers at this address

About NPI 1962832402

Davis Vardunny, PTA's National Provider Identifier is 1962832402, issued on Nov 20, 2013. The primary taxonomy on file is Physical Therapy Clinic/Center (261QP2000X), and the practice location is in Lathrup Village, MI. The record was last updated on Nov 20, 2013.