Individual
MR. SIVA SANKAR KRISHNAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.T.A.
Contact information
Practice address
903 W MAIN ST, YADKINVILLE, NC 27055-7807
(336) 679-8863
Mailing address
903 W MAIN ST, YADKINVILLE, NC 27055-7807
(336) 679-8863
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
3345
NC
Other
Enumeration date
03/23/2007
Last updated
06/10/2011
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