Individual
GEETADEVI BOMMINENI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPT
Contact information
Practice address
8060 KNUE RD, SUITE 110, INDIANAPOLIS, IN 46250-1976
(610) 834-1122
Mailing address
11902 BIRD KEY BLVD, FISHERS, IN 46037-4144
(317) 876-0598
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05008520A
IN
Other
Enumeration date
04/24/2007
Last updated
05/01/2023
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