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1871883249
PHANI JAYA SREE KAZA
SELDEN, NY
NPI
1871883249
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: NY 032443)
Enumeration Date
2011-04-19
Last Update Date
2011-04-19
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
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Mailing Address
-- PHANI JAYA SREE KAZA PT
1904 VILLAGE DR
AVENEL, NJ 07001-1048
Phone number: 916-753-4534
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