Individual
ROSHAN RAJAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
J2-0001031
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
J2-0001031
DE PTA LICENSE
DE
Enumeration date
05/17/2016
Last updated
05/17/2016
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