Provider Demographics
NPI:1548041874
Name:KURRA, PADMAJA (PT,DPT)
Entity type:Individual
Prefix:DR
First Name:PADMAJA
Middle Name:
Last Name:KURRA
Suffix:
Gender:F
Credentials:PT,DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6523 HIDDEN WOODS TRL
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44143-3500
Mailing Address - Country:US
Mailing Address - Phone:216-777-9659
Mailing Address - Fax:
Practice Address - Street 1:436 CHESTNUT ST
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:NJ
Practice Address - Zip Code:08701-5811
Practice Address - Country:US
Practice Address - Phone:732-405-3335
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-10-12
Last Update Date:2023-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5501019769225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist