Individual
SHARADI MUDIMBI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7505 WILDWOOD DR, TAKOMA PARK, MD 20912-7508
(301) 906-8563
Mailing address
7505 WILDWOOD DR, TAKOMA PARK, MD 20912-7508
(301) 906-8563
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A4333
MD
Other
Enumeration date
04/19/2016
Last updated
04/19/2016
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