| NPI | 1760873764 |
|---|---|
| Former Name | SHIRIN DESHPANDE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 038044) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 038044-1) |
| Enumeration Date | 2015-02-11 |
| Last Update Date | 2019-02-06 |