Individual
MRS. MAHESWARI R PIDUGU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
3140 GALAXY WAY, LAUREL, MD 20724-6116
(301) 498-0976
Mailing address
3140 GALAXY WAY, LAUREL, MD 20724-6116
(301) 498-0976
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
21839
MD
Other
Enumeration date
03/04/2009
Last updated
05/11/2017
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