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Individual

PADMAJA MEDARAMETLA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
2257 MALACHITE DR, LAKELAND, FL 33810-8243
(863) 398-9832
Mailing address
2257 MALACHITE DR, LAKELAND, FL 33810-8243
(863) 398-9832

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA18520
FL

Other

Enumeration date
12/22/2014
Last updated
12/22/2014
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