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NPI Code Detail

MEDICARE: MRS. RATNA BINDU BALAGANI PT

MEDICARE: MRS. RATNA BINDU BALAGANI PT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical TherapistPT02005RI

General Provider Information

NPI Number : 1285887117
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. RATNA BINDU BALAGANI PT
Provider Business Mailing Address
First Line : 66 ASPEN AVE
Second Line :
City : SOUTH GRAFTON
State : MA
Zip : 01560-1376
Country : US
Telephone Number : 508-853-0509
Fax Number :
Provider Business Practice Location Address
First Line : 70 GILL AVE
Second Line :
City : PAWTUCKET
State : RI
Zip : 02861-4315
Country : US
Telephone Number : 401-722-7900
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/22/2008
Last Update Date : 10/22/2008

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Directions to “ MRS. RATNA BINDU BALAGANI PT” Practice Location

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