SUPRIYA RAVURU

FAIRFAX, VA
NPI1578049615
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: VA  2305208320)
Enumeration Date2018-07-12
Last Update Date2018-07-12
Business Address
SUPRIYA RAVURU
12475 LEE JACKSON MEMORIAL HWY
FAIRFAX, VA 22033-2803
Phone number: 703-352-7172
Mailing Address
SUPRIYA RAVURU
22683 BEACON CREST TER
BRAMBLETON, VA 20148-6427
Phone number: 516-279-9939