Doctor Name: | MRS. ANURADHA VENUGOPAL MADHAVAN |
NPI Number: | 1750528238 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT |
License Number: | 34784 |
Business Practice Address: | 416 W Las Tunas Dr Suite 201 San Gabriel, CA - 917761236 |
Business Phone Number: | 8188617348 |
Business Fax Number: | |
Mailing Address: | 21243 Fibre Ct, WALNUT |
State: | CA |
Postal Code: | 917893304 |
Phone Number: | 9092260010 |
Fax Number: | |
NPI Enumeration Date: | 01/20/2009 |
NPI Last Update Date: | 01/20/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 34784 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
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 |