Individual
GEETHA GUDIPALLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
825 FIRST AVE NW, NEW BRIGHTON, MN 55112
(651) 633-7875
Mailing address
808 BERRY STREET, APT 418, SAINT PAUL, MN 55114
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
8673
MN
Other
Enumeration date
12/15/2010
Last updated
12/15/2010
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