Organization
KJD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRUPA DARJI PT (PHYSICAL THERAPIST)
(408) 482-2186
Entity
Organization
Contact information
Practice address
8900 COLUMBIA 100 PKWY STE C, COLUMBIA, MD 21045
(408) 482-2186
Mailing address
8900 COLUMBIA 100 PKWY STE C, COLUMBIA, MD 21045-2336
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
23927
MD
Other
Enumeration date
05/29/2018
Last updated
08/31/2018
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