Individual
BHAVANA RAJA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
39210 STATE ST STE 202, FREMONT, CA 94538-1456
(510) 790-9480
Mailing address
601 APPIAN WAY, UNION CITY, CA 94587-3702
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
07/14/2021
Last updated
07/14/2021
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