Individual
MS. AVANI MALANKAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
150 BERGEN ST, NEWARK, NJ 07103-2496
(973) 972-7188
Mailing address
136B HASTINGS AVE, RUTHERFORD, NJ 07070-1314
(201) 460-1651
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA00992500
NJ
Other
Enumeration date
05/15/2007
Last updated
07/08/2007
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