Individual
CHITRA KOTHARI MITTAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, MHS,OCS
Contact information
Practice address
115 CHRISTOPHER COLUMBUS DR STE 300, JERSEY CITY, NJ 07302-3551
(201) 366-1115
Mailing address
115 CHRISTOPHER COLUMBUS DR, STE 300, JERSEY CITY, NJ 07302-5568
(201) 366-1115
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
05008574A
IN
225100000X
Physical Therapist
17880
MA
225100000X
Physical Therapist
5501012215
MI
2251X0800X
Orthopedic Physical Therapist
032148
NY
2251X0800X
Orthopedic Physical Therapist
Primary
40QA01317500
NJ
2251X0800X
Orthopedic Physical Therapist
—
—
Other
Enumeration date
04/04/2007
Last updated
07/13/2017
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