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Individual
NILOVANA PANWALKAR
Active
Individual
NILOVANA PANWALKAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
036012-1
NY
225100000X
Physical Therapist
Primary
42490
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1053320325
GROUP NPI
CA
01
—
ZZZ29361Z
GROUP MEDICARE PTAN
CA
Enumeration date
04/19/2015
Last updated
12/30/2015
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