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Individual

MR. RAJAJITENDRA VARMA VANAPALA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT

Contact information

Practice address
1400 W. PARK, PRESENCE COVENANT MEDICAL CENTER, URBANA, IL 61801
(217) 337-2000
(217) 337-4603
Mailing address
1400 W. PARK, PRESENCE COVENANT MEDICAL CENTER, URBANA, IL 61801
(217) 337-2109
(217) 337-4603

Taxonomy

Speciality
Code
Description
License number
State
2251C2600X
Cardiopulmonary Physical Therapist
Primary
IL

Other

Enumeration date
06/30/2017
Last updated
06/30/2017
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