Reshma Banu Siddotam, PT

NPI #1609393446 in Carbondale, Illinois

Provider Information

NPI Number: 1609393446
Entity Type: Individual
Name: Reshma Banu Siddotam, PT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapist
Credential: PT
Enumeration Date: Aug 23, 2017
Last Updated: Aug 23, 2017

Practice Location

Address: 1110 CEDAR CT
City: Carbondale
State: Illinois
ZIP Code: 62901-5300
Phone: (618) 529-4360

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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