Individual
PARTHIV MOULESHKUMAR PATHAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
2328 BELLA VISTA WAY, PORT SAINT LUCIE, FL 34952-2632
(732) 713-4781
Mailing address
2328 BELLA VISTA WAY, PORT SAINT LUCIE, FL 34952-2632
(732) 713-4781
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
PT26280
FL
225100000X
Physical Therapist
032052
NY
Other
Enumeration date
11/23/2009
Last updated
09/12/2011
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