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Mr. Praveen Putlur, MS,PT,CSCS
Orthopedic Physical Therapist in South Bend, Indiana
NPI 1609063908

Praveen Putlur is a Orthopedic Physical Therapist based in South Bend, IN and is specialized in Orthopedic. Praveen Putlur practices in South Bend, IN and has the professional credentials of MS,PT,CSCS. The NPI Number for Praveen Putlur is 1609063908 and holds a License No. 05008806A (Indiana).

The current practice location address for Praveen Putlur is 111 W Jefferson Blvd, South Bend, IN and can be reached out via phone at 574-647-2600. You can also correspond with Praveen Putlur through the mailing address at 1710 ENCHANTED FOREST ST, SOUTH BEND, IN - 46637-4756 (mailing address contact number: 312-502-0206).

Location: 111 W Jefferson Blvd, South Bend, IN, 46637-4756
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1609063908
Provider Name
Praveen Putlur
Credential
MS,PT,CSCS
Provider Entity Type
Individual
Gender
Male
Address
111 W Jefferson Blvd, South Bend, IN, 46637-4756
Phone Number
574-647-2600
Fax Number
Provider Enumeration Date
10/01/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
111 W Jefferson Blvd
City
South Bend
State
Indiana
Zip
46601-1994
Phone Number
574-647-2600
Fax Number
person
Provider Business Mailing Address Details
Address
1710 Enchanted Forest St
City
South Bend
State
Indiana
Zip
46637-4756
Phone Number
312-502-0206
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Physical Therapist
Speciality
Orthopedic
Taxonomy
2251X0800X
License No.
05008806A (Indiana)
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopedic physical therapy theory and practice, and critical inquiry for evidence-based practice.
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