Sri Valli Bolla, DPT
Physical Therapist in Great Neck, NY. Individual provider (NPI-1).
NPI number1003553751
StatusActive
Last updated in NPPESFeb 20, 2024
Details
- NPI
- 1003553751
- Entity type
- Individual (NPI-1)
- Name
- Sri Valli Bolla
- Credential
- DPT
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- May 15, 2022
- Certification date
- Feb 20, 2024
- Last updated
- Feb 20, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 045681 | NY | Yes |
Practice location
475 Northern Blvd Ste 11Great Neck, NY 11021-4802
Phone 516-829-0030
Mailing address
25 50th St Apt BsmtWeehawken, NJ 07086-7237
Phone 660-238-3670
Other practice locations
355 Post Ave Ste 104
Westbury, NY 11590-2265
Westbury, NY 11590-2265
Phone 516-604-5461
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