Most Relevant Information
Provider Data
| NPI Number: | 1003399163 |
| Provider Name: | MALAVIKA VENKATARAMAN |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: | 1216271 |
Most Important Dates
| Enumeration Date: | 09/13/2018 |
| Last Updated: | 09/13/2018 |
Provider Practice Location
3208 THUNDERBIRD LN
PLANO
TX
750752321
Practice Location Phone/Fax
| Phone: | 9724222214 |
| Fax: |
Provider Mailing Location
3208 THUNDERBIRD LN
PLANO
TX
750752321
Provider Mailing Phone/Fax
| Phone: | 9724222214 |
| Fax: |