Individual
DIPTY MALI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
2520 KENNEDY BLVD # S1, JERSEY CITY, NJ 07304-2054
(019) 426-4242
(201) 706-2376
Mailing address
2520 KENNEDY BLVD, SUITE C1, JERSEY CITY, NJ 07304-2057
(019) 426-4242
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
40QA01583400
STATE LICENSE
NJ
Enumeration date
11/02/2017
Last updated
05/20/2022
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