Doctor Name: | THIRUPATHI REDDY ALLALA |
NPI Number: | 1255604344 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | 5501014432 |
Business Practice Address: | 2243 E 12 Mile Rd Warren, MI - 480925644 |
Business Phone Number: | 5865738100 |
Business Fax Number: | |
Mailing Address: | 2119 S Lovington Dr, Apt 201 TROY |
State: | MI |
Postal Code: | 480834352 |
Phone Number: | 8134761780 |
Fax Number: | |
NPI Enumeration Date: | 02/20/2012 |
NPI Last Update Date: | 02/20/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 5501014432 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |