Individual
DEVANANDARAJU NANNAPURAJ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
60 BRIMLEY DR, FREDERICKSBURG, VA 22406-5148
(540) 737-4505
Mailing address
60 BRIMLEY DR, FREDERICKSBURG, VA 22406-5148
(540) 737-4505
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305208430
VA
225100000X
Physical Therapist
5501014398
MI
Other
Enumeration date
05/23/2014
Last updated
05/23/2014
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