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Contact Information

LAKSHMI K GUDAVALLI, PT
275 E CARL SANDBURG DRIVE
MARIGOLD REHABILITATION
GALESBURG, IL61401
 Phone: 309-344-1151
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Orthopedic

2251X0800X 65 Physical Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for LAKSHMI K GUDAVALLI · (Female)

NPI # 1063814309
Status Active
Credentials PT (Physical Therapist)
Entity Individual
Enumeration date 09/18/2014
Last updated 09/18/2014 - About 12 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 070020357
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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