Individual
RUCHIKA RAI CHALLAGULLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T
Contact information
Practice address
10505 SEA PEARL CV UNIT 11, SAN DIEGO, CA 92130-8745
(630) 687-0158
Mailing address
10505 SEA PEARL CV UNIT 11, SAN DIEGO, CA 92130-8745
(630) 687-0158
Taxonomy
Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
Primary
40244
CA
2251H1300X
Human Factors Physical Therapist
40244
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
F7830716
DMV
CA
Enumeration date
05/05/2021
Last updated
05/05/2021
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