SREE VISHNU POTLURI

JERSEY CITY, NJ
NPI1013105170
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: NJ  40QA01317300)
Additional Taxonomies225100000X Physical Therapist
(Licence: IN  05008901A)
225100000X Physical Therapist
(Licence: MI  5501012700)
Enumeration Date2007-10-12
Last Update Date2012-06-28
Business Address
-- SREE VISHNU POTLURI
85 BROADWAY 2B
JERSEY CITY, NJ 07306-6353
Phone number: 317-371-5568
Mailing Address
-- SREE VISHNU POTLURI
85 BROADWAY 2H
JERSEY CITY, NJ 07306-6353
Phone number: 317-371-5568