Individual
GOURI CHITALAPUDI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
819 AUBURN HILL DR APT C, INDIANAPOLIS, IN 46224
(309) 569-9100
Mailing address
2390 LINSON STREET, BEAUMONT, TX 77703
(309) 569-9100
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
042654
NY
225100000X
Physical Therapist
05012769A
IN
225100000X
Physical Therapist
070023568
IL
225100000X
Physical Therapist
Primary
1302300
TX
Other
Enumeration date
08/25/2015
Last updated
08/10/2018
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