MRS. Sireesha Gumma, MPT

NPI #1972840171 in Normal, Illinois

Provider Information

NPI Number: 1972840171
Entity Type: Individual
Name: MRS. Sireesha Gumma, MPT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: MPT
Enumeration Date: Jan 8, 2013
Last Updated: Jan 8, 2013

Practice Location

Address: 1223 BLUE BILL WAY
City: Normal
State: Illinois
ZIP Code: 61761-9400
Phone: (309) 282-4886

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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