Supraja Angaru
Physical Therapist in Richmond, VA. Individual provider (NPI-1).
NPI number1184019481
StatusActive
Last updated in NPPESApr 2, 2015
Details
- NPI
- 1184019481
- Entity type
- Individual (NPI-1)
- Name
- Supraja Angaru
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 2, 2015
- Last updated
- Apr 2, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 2305206690 | VA | Yes |
| 225100000X | Physical Therapist | 032602 | NY |
Practice location
7246 Forest Hill AveRichmond, VA 23225-1524
Phone 804-320-7901
Mailing address
7512 Ander CtRichmond, VA 23225-2025
Phone 804-874-9098
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