Individual
MAMATHA REDDY BOYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
201 RUSSELL AVE, GAITHERSBURG, MD 20877-2800
(301) 987-6170
Mailing address
201 RUSSELL AVE, GAITHERSBURG, MD 20877-2800
(301) 987-6170
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
22983
MD
Other
Enumeration date
07/02/2012
Last updated
11/25/2012
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