National Provider Identifier

Vijetha Mudireddi

Vijetha Mudireddi is listed in the NPPES registry with a primary specialty of Physical Therapist in Webster, NY and a listed phone number of (585) 671-4300.

NPI 1881101152Webster, NYPhysical Therapist

Profile Overview

NPI
1881101152
Provider Type
Individual
Primary Specialty
Physical Therapist
Enumeration Date
January 08, 2018
Last Updated
March 03, 2020

Practice Location

  • 1550 Empire Blvd
  • Webster, NY 14580-2196

Phone: (585) 671-4300

Specialties

  • Physical Therapist (225100000X)
Full Record
NPI
1881101152
Entity Type
Individual
Last Name
Mudireddi
First Name
Vijetha
Mailing Street Address
1550 Empire Blvd
Mailing City
Webster
Mailing State
NY
Mailing ZIP Code
14580-2196
Mailing Country
US
Mailing Phone
(585) 671-4300
Practice Street Address
1550 Empire Blvd
Practice City
Webster
Practice State
NY
Practice ZIP Code
14580-2196
Practice Country
US
Practice Phone
(585) 671-4300
Enumeration Date
January 08, 2018
Last Updated
March 03, 2020
Sex
Female
Sole Proprietor
No
Certification Date
March 03, 2020
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Physical Therapist (225100000X)