Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KAVITHA CHAND MAMIDALA
Active Sole ProprietorKAVITHA CHAND MAMIDALA is a Physical Therapy Assistant healthcare provider located in WORCESTER, Massachusetts. NPI 1447383518 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · WORCESTER, MA
Registration Details
- NPI Number
- 1447383518
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 14, 2007 (19.421186294637 yrs)
- Last Updated
- Aug 2, 2022
- Licenses
-
0262061 (NY)20467 (MA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
50 GOLD STAR BLVD.WORCESTER, MA, 01606Browse MA providers · Browse ZIP 01606
- Phone
- 5088569510
- Fax
- 5088531907
- Primary Specialty
-
Physical Therapy Assistant
225100000X
- Additional Specialty
- Physical Therapy Assistant
Other Physical Therapy Assistant Providers in WORCESTER, MA
| Name | Credential | NPI |
|---|---|---|
| EUGENE R LAMBERT | PT | 1023007291 |
| LINDA DYLEWICZ | PT | 1114905189 |
| KENT P JASKOVIAK | PT | 1689652703 |
| JOHN J LEWCZYK | PT | 1700865672 |
| KRISTINE M FONTAINE | PT | 1710966676 |
| JULIE L FLAHERTY | PT | 1760461636 |
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.