Individual
RAGHUNANDAN ALAPAKAM REDDIVARI KUMARA VENKATA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
363 N GREELEY AVE, CHAPPAQUA, NY 10514-2748
(804) 874-9097
Mailing address
363 N GREELEY AVE, CHAPPAQUA, NY 10514-2748
(804) 874-9097
Taxonomy
Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
Primary
039830
NY
Other
Enumeration date
08/02/2019
Last updated
04/15/2024
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