Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225100000X | Physical Therapist | 5501009101 | MI |
NPI | 1003143793 |
---|---|
Provider Name | Ms. Silpa Parupalli |
First Address | Grand Rapids, MI 49546-7106 |
Second Address | Grand Rapids, MI 49546-7106 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/11/2009 |
Last Update Date | 17/11/2009 |