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Individual
SHRUTHI KRISHNA BANJAN
Active
Individual
SHRUTHI KRISHNA BANJAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
040837
NY
225100000X
Physical Therapist
40QA01656700
NJ
225100000X
Physical Therapist
PT30845
FL
Other
Enumeration date
02/13/2017
Last updated
03/06/2017
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