Individual
MISS RATI BHIWA GANDHALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
400 W 7TH ST, NORTH MANCHESTER, IN 46962-1199
(260) 982-8616
Mailing address
6205 CORNWALLIS DR, APT # 3B, FORT WAYNE, IN 46804-8384
(940) 224-6746
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05010297A
IN
225100000X
Physical Therapist
5501014930
MI
Other
Enumeration date
10/08/2012
Last updated
10/08/2012
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