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Individual

DR. SHANTHA NITHIANANDA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT, DPT

Contact information

Practice address
4920 ROSWELL RD STE 36, ATLANTA, GA 30342-2636
(214) 500-9432
Mailing address
933 WOOD HOLLOW DR SE, MARIETTA, GA 30067-8442
(214) 500-9432

Taxonomy

Speciality
Code
Description
License number
State
2251N0400X
Neurology Physical Therapist
Primary
PT014066
GA

Other

Enumeration date
08/14/2021
Last updated
08/19/2022
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