Individual
MR. VIKRAM SHARAD SHANBHAG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSPT
Contact information
Practice address
151 ANDREW AVE, APT # 272, NAUGATUCK, CT 06770-4356
(203) 843-3550
Mailing address
151 ANDREW AVE, APT # 272, NAUGATUCK, CT 06770-4356
(203) 843-3550
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
008046
CT
225100000X
Physical Therapist
05009140A
IN
225100000X
Physical Therapist
Primary
5501012956
MI
225100000X
Physical Therapist
PT018527
PA
Other
Enumeration date
09/08/2007
Last updated
09/08/2007
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