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Individual
NILESHKUMAR VALLABHBHAI TRADA
Active
Individual
NILESHKUMAR VALLABHBHAI TRADA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.T.
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
5501017141
MI
225100000X
Physical Therapist
Primary
P-16041
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5501017141
PHYSICAL THERAPIST LICENSE NUMBER
MI
01
—
P-16041
PHYSICAL THERAPIST LICENSE NUMBER
NC
Enumeration date
12/08/2015
Last updated
11/20/2019
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