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Individual

MRS. ASHA KIYANDUR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
3415 GREENCASTLE RD, BURTONSVILLE, MD 20866-1715
(240) 970-5524
Mailing address
3415 GREENCASTLE RD, BURTONSVILLE, MD 20866-1715
(240) 970-5524

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
27147
MD

Other

Enumeration date
06/26/2019
Last updated
06/26/2019
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