Individual
DIVYA PAGHADAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
153 BENNETT AVE, NEW YORK, NY 10040-4012
(866) 264-9450
Mailing address
108 PATERSON ST, JERSEY CITY, NJ 07307-3426
(908) 476-8990
Taxonomy
Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
—
—
2251N0400X
Neurology Physical Therapist
—
—
2251P0200X
Pediatric Physical Therapist
Primary
—
—
2251S0007X
Sports Physical Therapist
—
—
2251X0800X
Orthopedic Physical Therapist
—
—
Other
Enumeration date
02/07/2023
Last updated
02/07/2023
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