Individual
KRISHNA CHAITANYA JONNALAGADDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
359 HIGH ST, GREENFIELD, MA 01301-2617
(214) 491-0173
Mailing address
14 FARM HILL RD, SOUTH WINDSOR, CT 06074-1474
(312) 618-5933
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
9993
MA
Other
Enumeration date
04/06/2022
Last updated
04/06/2022
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