Individual
MRS. ANURADHA VENUGOPAL MADHAVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
416 W LAS TUNAS DR, SUITE 201, SAN GABRIEL, CA 91776-1236
(818) 861-7348
Mailing address
21243 FIBRE CT, WALNUT, CA 91789-3304
(909) 226-0010
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
34784
CA
Other
Enumeration date
01/20/2009
Last updated
01/20/2009
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