MRS. PRATHIMA MANDAVA, PT

Physical Therapist

Active Individual
NPI: 1063661288

Practice Address

12947 TOWNSEND DR
# 812
Grand Ledge, MI 48837

Phone: (906) 250-8223

Specialties

Specialty Code Primary License
Physical Therapist 225100000X Yes 5501014026 (MI)

Frequently Asked Questions

NPI 1063661288 is the National Provider Identifier for MRS. PRATHIMA MANDAVA, PT, a Physical Therapist provider located in Grand Ledge, MI. This NPI was enumerated on September 11, 2008.
MRS. PRATHIMA MANDAVA, PT practices at 12947 TOWNSEND DR, # 812, Grand Ledge, MI 48837.

Quick Facts

NPI
1063661288
Type
Individual
Enumerated
Sep 11, 2008
Last Updated
Sep 11, 2008

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