Individual
MRS. NIVEDITHA KRISHNAMURTHY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT,MS
Contact information
Practice address
9514 CONSOLE DR STE 102, SAN ANTONIO, TX 78229-2042
(210) 448-9111
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
1338601
TX
Other
Enumeration date
03/15/2021
Last updated
10/15/2024
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