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Individual
THIRUMAL REDDY VANTERU
Active
Individual
THIRUMAL REDDY VANTERU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
5501013067
MI
225100000X
Physical Therapist
Primary
5501013067
MI
Other
Enumeration date
03/26/2007
Last updated
03/14/2023
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