Individual
ARUNA JYOTHI MADDELA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5807 HACKBERRY LN, BRASELTON, GA 30517-5114
(361) 777-9995
Mailing address
5807 HACKBERRY LN, BRASELTON, GA 30517-5114
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT015835
GA
Other
Enumeration date
08/31/2023
Last updated
08/31/2023
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