| NPI | 1669596227 |
|---|---|
| Former Name | RADHIKA DEVINENI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305206908) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MI 5501012757) |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2011-09-23 |