Individual
CHAITANYA K MUDIREDDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
12222 N CENTRAL EXPY STE 115, DALLAS, TX 75243-3757
(972) 546-0411
(972) 559-1867
Mailing address
2800 W PARKER RD, PLANO, TX 75075-9194
(972) 983-3840
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
027697
NY
225100000X
Physical Therapist
Primary
1196173
TX
Other
Enumeration date
03/19/2007
Last updated
02/16/2017
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