Individual
DIVYA KORRAPATI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1350 E LOOKOUT DR, RICHARDSON, TX 75082-4106
(972) 220-2125
Mailing address
1350 E LOOKOUT DR, RICHARDSON, TX 75082-4106
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2073420
TX
Other
Enumeration date
04/22/2015
Last updated
04/22/2015
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