Individual
RATNA PRATIMA VALLABHANENI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
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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