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Individual
SREE VISHNU POTLURI
Active
Individual
SREE VISHNU POTLURI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
05008901A
IN
225100000X
Physical Therapist
Primary
40QA01317300
NJ
225100000X
Physical Therapist
5501012700
MI
Other
Enumeration date
10/12/2007
Last updated
06/28/2012
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