MRS. Prathima Mandava, PT

NPI #1063661288 in Grand Ledge, Michigan

Provider Information

NPI Number: 1063661288
Entity Type: Individual
Name: MRS. Prathima Mandava, PT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: PT
Enumeration Date: Sep 11, 2008
Last Updated: Sep 11, 2008

Practice Location

Address: 12947 TOWNSEND DR
Address 2: # 812
City: Grand Ledge
State: Michigan
ZIP Code: 48837-8727
Phone: (906) 250-8223

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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