Individual
CLAIRE AGRAWAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
840 HANSHAW RD, ITHACA, NY 14850-1589
(607) 257-0567
Mailing address
840 HANSHAW RD, ITHACA, NY 14850-1589
(607) 257-0567
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
042310
NY
Other
Enumeration date
10/05/2017
Last updated
10/05/2017
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