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Individual

LEKHA MADHURI KOSARAJU

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
976 AMSTERDAM AVE, NEW YORK, NY 10025-2201
(716) 936-6908
Mailing address
187 KENMORE AVE, BUFFALO, NY 14223-3017
(716) 936-6908

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
052930
NY
2251N0400X
Neurology Physical Therapist
052930
NY
2251S0007X
Sports Physical Therapist
052930
NY
2251X0800X
Orthopedic Physical Therapist
Primary
052930
NY

Other

Enumeration date
12/16/2024
Last updated
12/16/2024
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