Individual
DEVANSHI MODI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T,C.M.P, CERT. MDT
Contact information
Practice address
646 ROUTE 18 NORTH, SUITE 110, BUILDING B, EAST BRUNSWICK, NJ 08816
(551) 208-3234
(855) 282-5632
Mailing address
646 ROUTE 18 NORTH STE 110 BLDG B, EAST BRUNSWICK, NJ 08816-3722
(551) 208-3234
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA01732700
NJ
Other
Enumeration date
01/09/2016
Last updated
03/04/2022
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