Individual
ASHA J GUMMADI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
9595 NEEDLES AVE, FRISCO, TX 75035-1514
(312) 420-1654
Mailing address
1932 WALNUT PLZ, CARROLLTON, TX 75006-5810
(312) 420-1654
(469) 892-5222
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
PT020872
PA
2251N0400X
Neurology Physical Therapist
Primary
1227940
TX
Other
Enumeration date
04/25/2020
Last updated
05/31/2024
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