Individual
MADHURA A GURJAR
Active
Individual
MADHURA A GURJAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305205819
VA
225100000X
Physical Therapist
551012801
MI
225100000X
Physical Therapist
PT870994
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2307001242
DIRECT ACCESS CERTIFICATION
VA
05
—
30016439670001
—
VA
Enumeration date
05/04/2006
Last updated
04/17/2024
Update your record
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