Individual
FNU SOUMYA SEBASTIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
700 CONSTITUTION AVE NE, REHAB DEPT, WASHINGTON, DC 20002-6058
(202) 543-4800
(202) 629-5467
Mailing address
7689 PALMILLA DR, APT # 1304, SAN DIEGO, CA 92122-4712
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT871130
DC
Other
Enumeration date
05/13/2011
Last updated
05/13/2011
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