| Doctor Name: | MR. SANJAY REDDY |
| NPI Number: | 1801864384 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PT |
| License Number: | 070013765 |
| Business Practice Address: | 233 Medical Center Dr Riverdale, GA - 302742640 |
| Business Phone Number: | 3123398339 |
| Business Fax Number: | 2058748333 |
| Mailing Address: | Po Box 55130, ATLANTA |
| State: | GA |
| Postal Code: | 30308 |
| Phone Number: | 3123398339 |
| Fax Number: | 4045968022 |
| NPI Enumeration Date: | 03/09/2006 |
| NPI Last Update Date: | 01/16/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 070013765 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | IL |
| 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 |