| NPI | 1255504221 |
|---|---|
| Former Name | KAVITA M MANDVIWALA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305206338) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 028825) |
| 225100000X Physical Therapist (Licence: MI 5501013058) | |
| Enumeration Date | 2008-04-10 |
| Last Update Date | 2010-08-17 |