Individual
DIVYA SUBHADRA NADIMPALLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
2011 MCCOOK DR NW, KENNESAW, GA 30144-3164
(901) 212-5834
Mailing address
2011 MCCOOK DR NW, KENNESAW, GA 30144-3164
(901) 212-5834
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT010827
GA
Other
Enumeration date
03/28/2013
Last updated
03/28/2013
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