Individual
AMRUTA PRADEEP THATTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
4922 LASALLE RD, HYATTSVILLE, MD 20782-3302
(301) 864-2333
Mailing address
5407 15TH AVE, HYATTSVILLE, MD 20782-3439
(310) 494-1548
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
26683
MD
Other
Enumeration date
02/26/2019
Last updated
02/26/2019
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