Individual
AVANTHI AVADHANAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2277 NJ 33, HAMILTON, NJ 08690
(609) 838-7284
Mailing address
11 HAWTHORN DR, PLAINSBORO, NJ 08536-1932
(609) 955-2240
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
034105
NY
225100000X
Physical Therapist
Primary
40QA01469200
NJ
Other
Enumeration date
08/01/2014
Last updated
11/01/2018
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