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Individual

VIDIT ATUL PHANSE

Active
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Individual

VIDIT ATUL PHANSE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070.022922
IL
225100000X
Physical Therapist
Primary
070022922
IL
225100000X
Physical Therapist
P23372
NC

Other

Enumeration date
07/05/2017
Last updated
03/06/2026
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