Individual
BHAVANA GUNDALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T
Contact information
Practice address
311 MILL POND LN APT 613, SALISBURY, MD 21804-2265
(215) 720-6458
Mailing address
311 MILL POND LN APT 613, SALISBURY, MD 21804-2265
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
23968
MD
Other
Enumeration date
11/29/2012
Last updated
11/29/2012
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