PHANI JAYA SREE KAZA

SELDEN, NY
NPI1871883249
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: NY  032443)
Enumeration Date2011-04-19
Last Update Date2011-04-19
Business Address
-- PHANI JAYA SREE KAZA PT
260 MIDDLE COUNTRY RD BLDG.3, SUITE 9-A
SELDEN, NY 11784-2568
Phone number: 631-732-1600
Mailing Address
-- PHANI JAYA SREE KAZA PT
1904 VILLAGE DR
AVENEL, NJ 07001-1048
Phone number: 916-753-4534