Individual
AISHWARYA PARTH RAVAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
98120 QUEENS BLVD, REGO PARK, NY 11374-4357
(718) 897-3333
Mailing address
73 SAINT PAULS AVE, JERSEY CITY, NJ 07306-2205
(732) 781-6036
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
045304
NY
Other
Enumeration date
07/20/2020
Last updated
07/20/2020
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