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Individual

DR. SAYALI PRAFULLA KHEDEKAR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PT, DPT

Contact information

Practice address
685 36TH AVE NE, SALEM, OR 97301-4741
(503) 371-8860
(503) 371-8772
Mailing address
685 36TH AVE NE, SALEM, OR 97301-4741
(503) 371-8860
(503) 371-8772

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
40QA01855100
NJ
225100000X
Physical Therapist
Primary
63974
OR

Other

Enumeration date
10/21/2019
Last updated
02/03/2021
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