| Doctor Name: | HARICHANDRA VENNELAKANTI |
| NPI Number: | 1538489513 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.S |
| License Number: | 5501014952 |
| Business Practice Address: | 1600 Liberty St Covington, IN - 479321715 |
| Business Phone Number: | 7657934818 |
| Business Fax Number: | |
| Mailing Address: | 2320 N Vermilion St, Apt-322 DANVILLE |
| State: | IL |
| Postal Code: | 618321739 |
| Phone Number: | 6622025943 |
| Fax Number: | |
| NPI Enumeration Date: | 06/02/2010 |
| NPI Last Update Date: | 06/02/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 5501014952 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| 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 |