Individual
RATNA PRATIMA VALLABHANENI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2920 TIBBITS AVE, TROY, NY 12180-7077
(518) 274-4125
Mailing address
24 DUTCH VLG APT 2R, MENANDS, NY 12204-3017
(610) 701-1233
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
010630
NY
225200000X
Physical Therapy Assistant
Primary
PTA9848
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010630
PHYSICAL THERAPIST ASSISTANT LISCENSE NUMBER
NY
Enumeration date
02/23/2022
Last updated
09/12/2023
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