Individual ProviderVinod Surendrakumar PeterPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address1418 Mistwood Ct, Canton, MI 48187-5825(734) 673-1897PECOS EnrollmentBased on the most recent information from CMS, provider Vinod Surendrakumar Peter 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 ID1336643733Provider TypeIndividualFull NamePeter, Vinod SurendrakumarTitleMr.CredentialRPTGenderMaleSole ProprietorYesEnumeration Date3/20/2018Last Updated3/20/2018Contact InformationPractice LocationPractice Address1418 Mistwood Ct, Canton, MI 48187-5825Phone(734) 673-1897Fax(734) 844-0316Mailing LocationMailing Address1418 Mistwood Ct, Canton, MI 48187-5825Phone(734) 673-1897Fax(734) 844-0316Provider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense5501005460Michigan