| NPI | 1245788025 |
|---|---|
| Former Name | SRIVANI DORESWAMY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070021949) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PT27144) |
| Enumeration Date | 2016-09-21 |
| Last Update Date | 2019-06-06 |