Individual
ASHITA GADAGOJU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
23553 W FERNHURST DR, KATY, TX 77494-0686
(281) 394-1300
Mailing address
2102 CHICKADEE DR, KATY, TX 77494-6862
Taxonomy
Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
Primary
1260737
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
35799080
DRIVER LICENSE
TX
Enumeration date
02/05/2019
Last updated
02/05/2019
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