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Naga Kavitha Jampala

Physical Therapist in Cumming, GA. Individual provider (NPI-1).

NPI number1356708366
StatusActive
Last updated in NPPESJan 21, 2016

Details

NPI
1356708366
Entity type
Individual (NPI-1)
Name
Naga Kavitha Jampala
Sex
Female
Sole proprietor
Yes
Enumeration date
Jan 21, 2016
Last updated
Jan 21, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225100000X Physical TherapistPT011904GAYes

Practice location

2215 Mindy Ln
Cumming, GA 30041-7152

Phone 678-294-6550

Mailing address

2215 Mindy Ln
Cumming, GA 30041-7152

Phone 678-294-6550

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