| NPI | 1760775241 |
|---|---|
| Former Name | BHAIRVI MANDAVAWALA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QA01376000) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 62032793) |
| Enumeration Date | 2011-05-17 |
| Last Update Date | 2017-04-28 |