Individual
SHENPAGAVADIVU SATHIYAMOORTHY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5236 W UNIVERSITY DR STE 3500, MCKINNEY, TX 75071-8122
(469) 952-5082
Mailing address
5236 W UNIVERSITY DR STE 3500, MCKINNEY, TX 75071-8122
(469) 952-5082
Taxonomy
Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
070017687
IL
2251G0304X
Geriatric Physical Therapist
5501012687
MI
2251X0800X
Orthopedic Physical Therapist
Primary
1276906
TX
Other
Enumeration date
10/10/2016
Last updated
01/20/2020
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