Individual
PAVNI SHRIVASTAVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
303 N HURSTBOURNE PKWY STE 200, LOUISVILLE, KY 40222-5158
(502) 412-5847
Mailing address
10214 CAMDEN LN UNIT F, BRIDGEVIEW, IL 60455-5503
(317) 946-2426
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05011531A
IN
225100000X
Physical Therapist
070022904
IL
Other
Enumeration date
10/20/2014
Last updated
04/12/2022
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