Most Relevant Information
Provider Data
| NPI Number: | 1003029612 |
| Provider Name: | ANNAPOORNA PIDIKITI PHYSICAL THERAPIST |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: | 30346 |
Most Important Dates
| Enumeration Date: | 05/08/2007 |
| Last Updated: | 11/18/2019 |
Provider Practice Location
1652 W TEXAS ST
FAIRFIELD
CA
945336066
Practice Location Phone/Fax
| Phone: | 4082502843 |
| Fax: |
Provider Mailing Location
58 SHANIKO CMN
FREMONT
CA
945398102
Provider Mailing Phone/Fax
| Phone: | 4082502843 |
| Fax: | 4082502843 |