Individual
GAYATHRI SANTHANAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
10008 MULHOLLAND DR, GLEN ALLEN, VA 23059-7012
(773) 679-1631
Mailing address
10008 MULHOLLAND DR, GLEN ALLEN, VA 23059-7012
(773) 679-1631
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305205833
VA
Other
Enumeration date
08/11/2009
Last updated
08/11/2009
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