Individual
GIRIDHAR REDDY ONTADDU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7 LORING HILLS AVE, SALEM, MA 01970-4267
(978) 741-5700
Mailing address
7 LORING HILLS AVE, SALEM, MA 01970-4267
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
23847
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
23847
PHYSICAL THERAPIST
MA
Enumeration date
10/23/2018
Last updated
10/23/2018
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