| NPI | 1326457649 |
|---|---|
| Former Name | TARA RANDHAWA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MA 21313) |
| Enumeration Date | 2014-08-12 |
| Last Update Date | 2023-09-07 |