Individual ProviderShashwat JalukarPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address42456 Cherry Hill Rd, Canton, MI 48187-3401(734) 844-1478PECOS EnrollmentBased on the most recent information from CMS, provider Shashwat Jalukar 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 2 days ago.Profile DetailsProvider ID1427393958Provider TypeIndividualFull NameJalukar, ShashwatCredentialPTGenderMaleSole ProprietorNoEnumeration Date12/10/2012Last Updated12/10/2012Contact InformationPractice LocationPractice Address42456 Cherry Hill Rd, Canton, MI 48187-3401Phone(734) 844-1478FaxUnlisted FaxMailing LocationMailing Address9217 Hackberry Ave, Plymouth, MI 48170-4158PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense5501011136Michigan