Individual
VIDHI PRAMOD VORA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12333 83RD AVE APT 1606, KEW GARDENS, NY 11415-3437
(219) 604-1114
Mailing address
12333 83RD AVE APT 1606, KEW GARDENS, NY 11415-3437
(219) 604-1114
Taxonomy
Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
Primary
35852
NY
Other
Enumeration date
02/10/2015
Last updated
02/10/2015
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