Individual
MR. SIKANDER M BAJWA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MAOM, PT
Contact information
Practice address
1519 VIRGINIA DR, ELLISVILLE, MO 63011-2046
(314) 616-1276
(314) 741-3801
Mailing address
1519 VIRGINIA DR, ELLISVILLE, MO 63011-2046
(314) 616-1276
(314) 741-3801
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2000174761
MO
251E00000X
Home Health Agency
1011293
IL
251E00000X
Home Health Agency
830-HH
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2714157826222601
—
IL
Enumeration date
04/09/2008
Last updated
09/15/2021
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