Individual
JAYA RACHWANI PARSHOTAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10440 QUEENS BLVD APT 19W, FOREST HILLS, NY 11375-3657
(541) 974-8147
Mailing address
10440 QUEENS BLVD APT 19W, FOREST HILLS, NY 11375-3657
(541) 974-8147
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
042931
NY
Other
Enumeration date
10/09/2018
Last updated
01/04/2022
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