| NPI | 1982843272 |
|---|---|
| Former Name | DEESHA J GONDALIA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 030301) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CT 10471) |
| Enumeration Date | 2009-02-11 |
| Last Update Date | 2018-06-13 |