Organization
SEKER R MEDAVARAPU
Active
Other names
Clearwater Braces
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SEKER RAVEE MEDAVARAPU M.P.T. (OWNER)
(509) 751-1780
Entity
Organization
Contact information
Practice address
1366 BRIDGE ST, CLARKSTON, WA 99403-2332
(509) 751-1780
(509) 751-8771
Mailing address
1366 BRIDGE ST, CLARKSTON, WA 99403-2332
(509) 751-1780
(509) 751-8771
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
602991567
WA
Other
Enumeration date
03/16/2010
Last updated
01/04/2011
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