SHAKTI BANWAT

WHITING, IN
NPI1558821801
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: IN  06005015A)
Additional Taxonomies225200000X Physical Therapy Assistant
(Licence: IL  160006962)
Enumeration Date2019-03-22
Last Update Date2019-03-22
Business Address
SHAKTI BANWAT
1534 119TH ST
WHITING, IN 46394-1733
Phone number: 219-655-5285
Mailing Address
SHAKTI BANWAT
1534 119TH ST
WHITING, IN 46394-1733
Phone number: 219-655-5285
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