Individual
EKTA V PANCHAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
496 BOULEVARD APT C9, PASSAIC, NJ 07055-2142
(551) 271-6143
Mailing address
496 BOULEVARD APT C9, PASSAIC, NJ 07055-2142
(551) 271-6143
Taxonomy
Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
Primary
—
—
Other
Enumeration date
06/20/2022
Last updated
06/20/2022
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