Individual
CHARITHA CHOWDANAHALLI YASHAVANTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1825 CRYSTAL FALLS PKWY STE 150, LEANDER, TX 78641-4041
(512) 817-5001
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
(866) 370-8206
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1391568
TX
Other
Enumeration date
06/05/2024
Last updated
06/12/2024
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