Mallikarjuna Prasad Suryamoni, PT
NPI #1265703425 in Titusville, Florida
Provider Information
- NPI Number
- 1265703425
- Entity Type
- Individual
- Name
- Mallikarjuna Prasad Suryamoni, PT
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physical Therapist
- Credential
- PT
- Enumeration Date
- Jan 19, 2012
- Last Updated
- Jan 19, 2012
Practice Location
- Address
- 1550 JESS PARRISH CT
- City
- Titusville
- State
- Florida
- ZIP Code
- 32796-2147
- Phone
- (321) 269-2200
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapist |
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