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Individual

ANISHA VARGHESE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
490 ROUTE 304, NEW CITY, NY 10956-3040
(845) 507-0477
Mailing address
331 NEWMAN SPRINGS RD STE 220, RED BANK, NJ 07701-5792
(732) 807-0877
(201) 751-1680

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
046953
NY
225100000X
Physical Therapist
Primary
40QA01962100
NJ
2251X0800X
Orthopedic Physical Therapist
2255A2300X
Athletic Trainer
003478
NY
2255A2300X
Athletic Trainer
25MT00278900
NJ

Other

Enumeration date
06/21/2017
Last updated
08/06/2024
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