MRS. Soumya Mamidi, PHYSICAL THERAPIST

NPI #1447753264 in Waterford, Michigan

Provider Information

NPI Number: 1447753264
Entity Type: Individual
Name: MRS. Soumya Mamidi, PHYSICAL THERAPIST
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapist
Credential: PHYSICAL THERAPIST
Enumeration Date: Mar 18, 2018
Last Updated: Mar 18, 2018

Practice Location

Address: 1901 N TELEGRAPH RD
City: Waterford
State: Michigan
ZIP Code: 48328-1878
Phone: (248) 836-1000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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