Individual
CHITRA VIDIYALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
21 W 86TH ST, SUITE 101, NEW YORK, NY 10024-3671
(212) 580-0125
Mailing address
21 W 86TH ST, SUITE 101, NEW YORK, NY 10024-3671
(212) 580-0125
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
62-031043
NY
Other
Enumeration date
03/24/2010
Last updated
04/30/2010
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