DR. Jesudian Boddu, DPT

NPI #1831315712 in Portland, Michigan

Provider Information

NPI Number: 1831315712
Entity Type: Individual
Name: DR. Jesudian Boddu, DPT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapist
Credential: DPT
Enumeration Date: Apr 18, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 1447 E GRAND RIVER AVE
City: Portland
State: Michigan
ZIP Code: 48875-1631
Phone: (517) 647-1000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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