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Individual

BHASHINI NAGALLA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1111 DRURY LN, ENGLEWOOD, FL 34224-4545
(941) 474-9371
Mailing address
3885 WOODMERE PARK BLVD, APT 4, VENICE, FL 34293-2222

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT28853
FL

Other

Enumeration date
02/03/2015
Last updated
02/03/2015
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