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Individual

DHRITHI AIL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
5173 MAIN ST, MOUNT JACKSON, VA 22842-9513
(317) 853-0734
Mailing address
5173 MAIN ST, MOUNT JACKSON, VA 22842-9513
(540) 459-1352
(317) 388-0805

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
2305212101
VA
225100000X
Physical Therapist
1253253
TX

Other

Enumeration date
04/27/2015
Last updated
06/23/2021
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