Individual
TUSHAR INDREKAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS
Contact information
Practice address
9410 60TH AVE APT L1, ELMHURST, NY 11373-5041
(858) 250-9759
Mailing address
9410 60TH AVE APT L1, ELMHURST, NY 11373-5041
(858) 250-9759
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
012539-01
NY
Other
Enumeration date
08/19/2020
Last updated
08/19/2020
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