Individual
ARCHANA VASUDEO PRABHU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
732 COUNTY AVE APT 36, SECAUCUS, NJ 07094-2712
(201) 736-9322
Mailing address
732 COUNTY AVE APT 36, SECAUCUS, NJ 07094-2712
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
037429
NY
Other
Enumeration date
12/16/2015
Last updated
12/16/2015
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