Individual
KIRAN MAYEE LAKKARAJULA SUBUDDI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3120 NORTHWEST BLVD, UPPER ARLINGTON, OH 43221-2234
(832) 835-8727
Mailing address
3120 NORTHWEST BLVD, UPPER ARLINGTON, OH 43221-2234
(832) 835-8727
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT017152
OH
Other
Enumeration date
11/11/2019
Last updated
11/11/2019
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