Individual
SUDHA KOTHA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5980 W 71ST ST STE 102, INDIANAPOLIS, IN 46278-1785
(317) 388-0800
(317) 388-0805
Mailing address
168 IRVING AVE, STE 402-A, PORT CHESTER, NY 10573-4157
(914) 939-3143
(914) 939-3120
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
029333
NY
Other
Enumeration date
01/16/2008
Last updated
11/23/2015
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