Individual
PRADIP RAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6327 CORNWALLIS DR APT 3A, FORT WAYNE, IN 46804-8376
(660) 909-2144
Mailing address
6327 CORNWALLIS DR APT 3A, FORT WAYNE, IN 46804-8376
(660) 909-2144
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05012052A
IN
Other
Enumeration date
06/26/2020
Last updated
06/26/2020
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