# KJD

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1497246193
- **Authorized official:** KRUPA DARJI PT (PHYSICAL THERAPIST)
- **Authorized official phone:** (408) 482-2186

## Contact information

- **Practice address:** 8900 COLUMBIA 100 PKWY STE C, COLUMBIA, MD 21045
- **Practice address phone:** (408) 482-2186
- **Mailing address:** 8900 COLUMBIA 100 PKWY STE C, COLUMBIA, MD 21045-2336

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | 23927 | MD | Yes |

## Other

- **Enumeration date:** 05/29/2018
- **Last updated:** 08/31/2018