Most Relevant Information
Provider Data
| NPI Number: | 1003327586 |
| Provider Name: | FNU PRASEETHA ULLAL KOLAP PHYSICAL THERAPIST |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: | 042121 |
Most Important Dates
| Enumeration Date: | 10/24/2017 |
| Last Updated: | 10/24/2017 |
Provider Practice Location
5211 FREDERICKSBURG RD APT 1319
SAN ANTONIO
TX
782294104
Practice Location Phone/Fax
| Phone: | 7085719504 |
| Fax: |
Provider Mailing Location
5211 FREDERICKSBURG RD APT 1319
SAN ANTONIO
TX
782294104
Provider Mailing Phone/Fax
| Phone: | 7085719504 |
| Fax: |