Provider Demographics
NPI:1336381433
Name:REDDY, PRATHIMA (DPT)
Entity Type:Individual
Prefix:MISS
First Name:PRATHIMA
Middle Name:
Last Name:REDDY
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5 LAURIE LN
Mailing Address - Street 2:
Mailing Address - City:FRAMINGHAM
Mailing Address - State:MA
Mailing Address - Zip Code:01701-3826
Mailing Address - Country:US
Mailing Address - Phone:508-789-6666
Mailing Address - Fax:
Practice Address - Street 1:5 LAURIE LN
Practice Address - Street 2:
Practice Address - City:FRAMINGHAM
Practice Address - State:MA
Practice Address - Zip Code:01701-3826
Practice Address - Country:US
Practice Address - Phone:508-789-6666
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-04-03
Last Update Date:2021-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist