Individual
DIVYA JOSHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICAL THERAPIST
Contact information
Practice address
7905 CALUMET AVE, MUNSTER, IN 46321-2549
(219) 836-0193
(219) 836-2452
Mailing address
PO BOX 781076, DETROIT, MI 48278-1076
(317) 528-4800
(317) 865-1479
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05006615A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201340800
—
IN
Enumeration date
03/17/2011
Last updated
08/28/2020
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