Shiva Gundavaram, PHYSICAL THERAPIST Valid NPI

Individual provider · Physical Therapist · Bridgeport, CT

NPI

1992121883

Type

Individual (Type 1)

Primary specialty

Physical Therapist

Specialty group

Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy code

225100000X

License number

007938 (CT)

Sex

Male

Sole proprietor

Yes

Enumerated

2014-03-15

Last updated

2014-03-15