NPI | 1518014828 |
---|---|
Professional Name | SIRISHA PUTUMBAKA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT 32170) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: MI 5501011712) |
Enumeration Date | 2007-01-05 |
Last Update Date | 2017-03-19 |