Individual
MISS MANASA SRIPERUMBDUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MHSPT
Contact information
Practice address
4133 MATHEWS AVE, APT 22, INDIANAPOLIS, IN 46227-3788
(510) 332-4947
Mailing address
4133 MATHEWS AVE, APT 22, INDIANAPOLIS, IN 46227-3788
(510) 332-4947
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501013628
MI
Other
Enumeration date
01/12/2008
Last updated
01/12/2008
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