Individual
MISS DJOANA CLARA H. BAKANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
007561
CT
2251P0200X
Pediatric Physical Therapist
028585
NY
Other
Enumeration date
06/14/2006
Last updated
06/30/2023
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