Individual
CHITRA LAKSHMI K BALASUBRAMANIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD, PT
Contact information
Practice address
13500 SUTTON PARK DR S STE 302, JACKSONVILLE, FL 32224-5291
(904) 371-4649
Mailing address
8868 HAMPTON LANDING DR E, JACKSONVILLE, FL 32256-4581
(352) 222-6023
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
08/15/2018
Last updated
08/15/2018
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