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Individual

CHIRAGKUMAR DAVE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PTA

Contact information

Practice address
2400 PARKSIDE DR, FREMONT, CA 94536-5332
(510) 793-7222
Mailing address
4164 SABIO CT, FREMONT, CA 94536-4624
(817) 808-8008

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
10364
CA

Other

Enumeration date
01/12/2015
Last updated
01/12/2015
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