Individual
DEVASHREE DHANANJAY GUPTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
503 OTIS BOWEN DR, MUNSTER, IN 46321-4158
(219) 934-0750
Mailing address
2701 CHESTNUT STATION CT, LOUISVILLE, KY 40299-6395
(888) 343-4148
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05012147A
IN
Other
Enumeration date
10/24/2023
Last updated
10/24/2023
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