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1144938986
SHAJIMON VADAKKAN ITTEERA
BRONX, NY
NPI
1144938986
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Professional Name
SHAJIMON VADAKKAN ITTEERA
Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: NY 032136)
Enumeration Date
2022-11-10
Last Update Date
2022-11-10
Business Address
Mr. SHAJIMON VADAKKAN ITTEERA PT
2015 GRAND CONCOURSE
BRONX, NY 10453-4303
Phone number: 718-299-7295
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Mailing Address
Mr. SHAJIMON VADAKKAN ITTEERA PT
2626 HALPERIN AVE
BRONX, NY 10461-2631
Phone number: 718-618-0401
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