IndividualActive
Soundararajan Duraisamy
NPI 1801362272 · Geriatric Physical Therapist · Jackson, MI
Provider details
- NPI number
- 1801362272
- Entity type
- Individual
- Primary specialty
- Geriatric Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 5501014241 (MI)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
900 Cooper St
Jackson, MI 49202-3398
Phone: (517) 780-9500
Approximate (ZIP-level) locationGet directions
Mailing address
1842 Steeplechase Rd
Canton, MI 48188-2565
Registry dates
- Enumerated
- 2018-10-23
- Last updated
- 2018-10-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.