Individual
MR. SUDHIR VYANKATRAO TAWALARE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
275 N MIDDLETOWN RD, SUITE 1B, PEARL RIVER, NY 10965-1188
(845) 623-6566
(845) 623-6556
Mailing address
281 SPRING VALLEY RD, PARK RIDGE, NJ 07656-1017
(201) 782-9455
(201) 782-9455
Taxonomy
Speciality
Code
Description
License number
State
2251H1200X
Hand Physical Therapist
012255-1
NY
2251H1200X
Hand Physical Therapist
QA 05948
NJ
2251X0800X
Orthopedic Physical Therapist
Primary
012255-1
NY
2251X0800X
Orthopedic Physical Therapist
QA 05948
NJ
Other
Enumeration date
06/23/2006
Last updated
12/09/2015
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