Supriya Ravuru

NPI 1578049615 · on the registry since 2018 · sole proprietor

Practice

Address: 12475 Lee Jackson Memorial Hwy
Fairfax, VA 22033
Phone: (703) 352-7172
Organisation at this address: Fair Oaks Snf Operations Llc
Manor Care-Fair Oaks Of Fairfax Va Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 3

Registry record

Primary taxonomy: Physical Therapist
225100000X
Licence states on file: VA
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2018-07-12

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Virginia