Individual
DIMPY VADALIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
24 FLEETWOOD DR, ROCKAWAY, NJ 07866-2313
(862) 217-7948
Mailing address
24 FLEETWOOD DR, ROCKAWAY, NJ 07866-2313
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
049202-01
NY
2251G0304X
Geriatric Physical Therapist
049202-01
NY
2251P0200X
Pediatric Physical Therapist
049202-01
NY
2251X0800X
Orthopedic Physical Therapist
049202-01
NY
Other
Enumeration date
07/17/2023
Last updated
07/17/2023
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