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Individual

MANTHAN BACHUBHAI PARMAR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PT

Contact information

Practice address
353 OCEAN AVE, BROOKLYN, NY 11226-1326
(718) 940-2100
Mailing address
3008 PLAZA DR, WOODBRIDGE, NJ 07095-1139

Taxonomy

Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
04439
STATE LICENSE
NY
Enumeration date
06/11/2019
Last updated
06/11/2019
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