Individual ProviderBiju NochiyilPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address6294 Woodland Dr, Canton, MI 48187-5626(517) 414-1846PECOS EnrollmentBased on the most recent information from CMS, provider Biju Nochiyil does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 3 days ago.Profile DetailsProvider ID1225534233Provider TypeIndividualFull NameNochiyil, BijuGenderMaleSole ProprietorYesEnumeration Date3/30/2018Last Updated3/30/2018Contact InformationPractice LocationPractice Address6294 Woodland Dr, Canton, MI 48187-5626Phone(517) 414-1846FaxUnlisted FaxMailing LocationMailing Address6294 Woodland Dr, Canton, MI 48187-5626PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicenseUnlisted IssuerProvider IdentifiersIDDescriptionIssuerIDNADescriptionOtherIssuerNA