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Individual

BHAVANA JAIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1110 2ND AVE RM 302, NEW YORK, NY 10022-2021
(212) 842-0080
Mailing address
1110 2ND AVE RM 302, NEW YORK, NY 10022-2021
(212) 842-0080

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
034672
NY
225100000X
Physical Therapist
Primary
40QA01723900
NJ

Other

Enumeration date
07/12/2012
Last updated
01/25/2023
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