KRISHNA C PENDEM

JERSEY CITY, NJ
NPI1598244220
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: NY  010406-1)
Enumeration Date2018-08-13
Last Update Date2018-08-13
Business Address
KRISHNA C PENDEM
15 STAGG ST
JERSEY CITY, NJ 07306-3413
Phone number: 803-446-7856
Mailing Address
KRISHNA C PENDEM
15 STAGG ST
JERSEY CITY, NJ 07306-3413
Phone number: 803-446-7856
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