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Individual
LOPA CHITALIA
Active
Individual
LOPA CHITALIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
25768
MD
225100000X
Physical Therapist
Primary
295087
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1053320325
GROUP NPI
—
01
—
295087
PT LICENSE
CA
01
—
ZZZ29361Z
MEDICARE PTAN
—
Enumeration date
12/08/2015
Last updated
12/10/2019
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