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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. RADHA GODAMBE, DPT

Active Sole Proprietor

DR. RADHA GODAMBE, DPT is a Physical Therapy Assistant healthcare provider located in BOLINGBROOK, Illinois. NPI 1194051615 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · BOLINGBROOK, IL

Registration Details

NPI Number
1194051615
Provider Type
Individual
Gender
Female
NPI Issued
Oct 19, 2009 (16.676590363474 yrs)
Last Updated
Oct 19, 2009
License
070014468 (IL)
Sole Proprietor
Yes

Practice Information

Address
1830 HEATHER ST
BOLINGBROOK, IL, 604902077
Browse IL providers · Browse ZIP 60490
Phone
6307595448
Primary Specialty
Physical Therapy Assistant
225100000X

Other Physical Therapy Assistant Providers in BOLINGBROOK, IL

Name Credential NPI
MR. FERDINAND USON P.T 1912974239
TIMOTHY WAYNE TUCKER MPT 1912969973
JANEMARIE K PARKER PT 1417901307
MR. IBRAHIM O AROWOLO 1497702732
JAMES DONAHUE DPT 1649288267
DR. TRICIA L MITCHELL DPT, MPT 1144339359
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.