Individual
ABAGALE REDDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5535 S WILLIAMSON BLVD, SUITE 774, PORT ORANGE, FL 32128-8311
(800) 330-7711
Mailing address
5535 S WILLIAMSON BLVD, SUITE 774, PORT ORANGE, FL 32128-8311
(800) 330-7711
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
60877
OR
Other
Enumeration date
02/06/2015
Last updated
02/06/2015
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