Individual
MRS. AMITHA RAGHUBIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
15 BROADWAY, MALVERNE, NY 11565-1632
(908) 216-4408
Mailing address
15 BROADWAY, MALVERNE, NY 11565-1632
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
07/28/2011
Last updated
07/28/2011
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