Individual
MRS. SREE SUSHMA YENUGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPT
Contact information
Practice address
1950 RIDGEDALE RD, SOUTH BEND, IN 46614-2243
(574) 291-6722
Mailing address
501 WIDENER LN, SOUTH BEND, IN 46614-3233
(940) 312-2759
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05010225A
IN
Other
Enumeration date
08/30/2020
Last updated
08/30/2020
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