Punith Kumar Shivapura Nanjundaiah, DPT Valid NPI
Individual provider · Physical Therapist · Dumfries, VA
- NPI
- 1023699790
- Type
- Individual (Type 1)
- Primary specialty
- Physical Therapist
- Specialty group
- Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Taxonomy code
- 225100000X
- License number
- 2305213224 (VA)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2021-04-15
- Last updated
- 2022-07-13
Practice location
3600 Pointe Center Ct Ste 110
Dumfries, VA 22026-2670
(757) 523-1790