Individual
SRUTHI JOB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
5095 PRESTON AVE, PASADENA, TX 77505-2053
(281) 582-8090
(281) 582-8088
Mailing address
5095 PRESTON AVE, PASADENA, TX 77505-2053
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
1307945
TX
Other
Enumeration date
08/17/2018
Last updated
08/17/2018
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