Individual
MRS. BHAVNA AJWANI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
43 MAHONEY CT, FAIR LAWN, NJ 07410-2737
(734) 864-2437
Mailing address
43 MAHONEY CT, FAIR LAWN, NJ 07410-2737
(734) 864-2437
Taxonomy
Speciality
Code
Description
License number
State
224Y00000X
Clinical Exercise Physiologist
—
—
225100000X
Physical Therapist
17726
MA
225100000X
Physical Therapist
Primary
5501013634
MI
Other
Enumeration date
01/10/2012
Last updated
01/10/2012
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