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Individual

ANKITA SUHAS WADADEKAR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSPT

Contact information

Practice address
7 W RIDGELY RD, A, TIMONIUM, MD 21093-5135
(443) 921-9890
(410) 252-4590
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
(630) 296-2223

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
18621
MA
225100000X
Physical Therapist
Primary
23846
MD
225100000X
Physical Therapist
31184
NY
2251P0200X
Pediatric Physical Therapist
23846
MD

Other

Enumeration date
05/14/2009
Last updated
05/25/2016
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