Individual
ASHA LOURA SWAPNA SRI PUTTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
2148 OCEAN AVE, BROOKLYN, NY 11229-1483
(718) 872-7002
(718) 872-6899
Mailing address
186 RED HILL RD, NEW CITY, NY 10956-1511
(945) 247-8821
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
053543
NY
Other
Enumeration date
01/17/2025
Last updated
01/17/2025
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