Individual
ANSHUMALA M SHIVAKOTY
Active
Individual
ANSHUMALA M SHIVAKOTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
2305206211
VA
225100000X
Physical Therapist
24749
MD
225100000X
Physical Therapist
Primary
PT023512
PA
Other
Enumeration date
02/22/2012
Last updated
09/20/2024
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