Suriya Subashini Kunnukutty Mohan

NPI #1225517683 in Lewiston, Idaho

Provider Information

NPI Number: 1225517683
Entity Type: Individual
Name: Suriya Subashini Kunnukutty Mohan
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Enumeration Date: Aug 7, 2018
Last Updated: Aug 7, 2018

Practice Location

Address: 3315 8TH ST
City: Lewiston
State: Idaho
ZIP Code: 83501-4966
Phone: (208) 746-7648

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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