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Individual

BIRVA GANDHI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
9632 W APPLETON AVE, MILWAUKEE, WI 53225-3305
(414) 535-6704
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
13610-24
WI
225100000X
Physical Therapist

Other

Enumeration date
03/16/2018
Last updated
05/30/2024
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