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Individual

MRS. BHAVNA AJWANI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PT

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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