Individual
SUBHADRA NAVYA BODLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1859 N WEBB RD, WICHITA, KS 67206-3413
(316) 854-2539
Mailing address
12013 E TIPPERARY ST, WICHITA, KS 67206-4502
(316) 737-9560
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11-06963
KS
Other
Enumeration date
01/18/2024
Last updated
01/18/2024
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