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Individual

DHIRAJ PHADTARE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
P.T.

Contact information

Practice address
1942 MILITARY TPKE, PLATTSBURGH, NY 12901-7375
(518) 310-3644
Mailing address
1942 MILITARY TPKE, PLATTSBURGH, NY 12901-7375
(518) 310-3644

Taxonomy

Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
036163
NY
2251X0800X
Orthopedic Physical Therapist
2305209355
VA

Other

Enumeration date
02/24/2016
Last updated
02/24/2016
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