Individual
DR. PRERNA RAIGANGAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT, PT
Contact information
Practice address
21001 N TATUM BLVD STE 1630-481, PHOENIX, AZ 85050-4242
(602) 821-4028
Mailing address
2811 W DEER VALLEY RD APT 1045, PHOENIX, AZ 85027-2387
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
LPT-013176
AZ
Other
Enumeration date
02/06/2019
Last updated
02/06/2019
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