Provider Demographics
NPI:1497953319
Name:IPPATOORI, RADHIKA PRIYA (MSPT)
Entity Type:Individual
Prefix:MRS
First Name:RADHIKA
Middle Name:PRIYA
Last Name:IPPATOORI
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Gender:F
Credentials:MSPT
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Mailing Address - Street 1:7650 EAST PARHAM ROAD
Mailing Address - Street 2:MOB II SUIT 120
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23294
Mailing Address - Country:US
Mailing Address - Phone:804-545-4952
Mailing Address - Fax:804-545-4952
Practice Address - Street 1:7650 E PARHAM RD
Practice Address - Street 2:MOB II SUITE 120;PARHAM DOCTORS-SORC
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23294-4373
Practice Address - Country:US
Practice Address - Phone:804-545-4952
Practice Address - Fax:804-545-4952
Is Sole Proprietor?:No
Enumeration Date:2007-07-03
Last Update Date:2012-12-10
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Provider Licenses
StateLicense IDTaxonomies
VA2305204530225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist