Individual
SRIDEVI THOTAKURA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1021 E CENTRAL AVE, GREENSBURG, IN 47240-2244
(317) 918-8269
Mailing address
1021 E CENTRAL AVE, GREENSBURG, IN 47240-2244
(317) 918-8269
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05009700A
IN
225100000X
Physical Therapist
5501013947
MI
Other
Enumeration date
12/17/2008
Last updated
12/07/2010
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