Provider Demographics
NPI:1386817252
Name:VADLAMANI, SUDHA (MOTR)
Entity Type:Individual
Prefix:
First Name:SUDHA
Middle Name:
Last Name:VADLAMANI
Suffix:
Gender:F
Credentials:MOTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4604 SPENCER DR
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75024-6356
Mailing Address - Country:US
Mailing Address - Phone:214-566-2687
Mailing Address - Fax:
Practice Address - Street 1:4604 SPENCER DR
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75024-6356
Practice Address - Country:US
Practice Address - Phone:214-566-2687
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-10
Last Update Date:2008-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX112526225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist