Sharadi Mudimbi

NPI #1548614266 in Takoma Park, Maryland

Provider Information

NPI Number: 1548614266
Entity Type: Individual
Name: Sharadi Mudimbi
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Enumeration Date: Apr 19, 2016
Last Updated: Apr 19, 2016

Practice Location

Address: 7505 WILDWOOD DR
City: Takoma Park
State: Maryland
ZIP Code: 20912-7508
Phone: (301) 906-8563

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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