| NPI | 1578806816 |
|---|---|
| Former Name | LAKSHMI DEEPTI PAKKI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1229435) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: TX 2094661) |
| Enumeration Date | 2013-04-05 |
| Last Update Date | 2015-01-09 |