Individual
ANNOUSHKA AMANDA RANARAJA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
6824 E BROWN RD STE 102, MESA, AZ 85207-3703
(480) 924-5514
Mailing address
4455 E MEGAN ST, GILBERT, AZ 85295-5806
(818) 445-1302
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
31409
AZ
Other
Enumeration date
11/06/2020
Last updated
11/06/2020
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