NPI | 1043035942 |
---|---|
Former Name | RAJESHREE VIJAY KIRTE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: PA PT032775) |
Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy (Licence: NY 050436-01) |
Enumeration Date | 2024-11-18 |
Last Update Date | 2024-11-18 |