Individual
CHAITANYA VASIREDDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
2250 HICKORY RD, SUITE 240, PLYMOUTH MEETING, PA 19462-1047
(610) 834-1122
Mailing address
4133 MATHEWS AVE, APT 8, INDIANAPOLIS, IN 46227-3788
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
IN
Other
Enumeration date
01/28/2008
Last updated
01/28/2008
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