Individual
CHARUL GUPTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3905 BEACON AVE, FREMONT, CA 94538-1405
(510) 608-3730
Mailing address
3905 BEACON AVE, FREMONT, CA 94538-1405
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
304855
CA
Other
Enumeration date
03/22/2024
Last updated
03/22/2024
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