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Individual

MRS. DIVYA SHAH WAGHRAY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHYSICAL THERAPIST

Contact information

Practice address
275 STEELE RD, WEST HARTFORD, CT 06117-2716
(860) 570-8200
Mailing address
275 STEELE RD, WEST HARTFORD, CT 06117-2716
(860) 570-8200

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
0018036
CO
225100000X
Physical Therapist
05015176A
IN
225100000X
Physical Therapist
Primary
14.013933
CT
225100000X
Physical Therapist
2305215630
VA
225100000X
Physical Therapist
5501006522
MI

Other

Enumeration date
04/25/2018
Last updated
01/09/2024
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