Individual
JALPABEN CHIMANLAL THUMMAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
191 PALISADE AVE, JERSEY CITY, NJ 07306-1112
(201) 656-4324
(201) 656-4019
Mailing address
752 COUNTY AVE, APT # 1A, SECAUCUS, NJ 07094-2730
(551) 574-8549
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
038533
NY
225100000X
Physical Therapist
1256050
TX
225100000X
Physical Therapist
Primary
40QA01755400
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04544161
—
NY
01
—
1316316144
1199 SEIU FUNDS
NY
01
—
201618900046
AFFINITY
NY
01
—
P0104147
ELDER PLAN
NY
Enumeration date
09/22/2015
Last updated
03/17/2018
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