Individual
AKSHATA ULLAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
501 5TH AVE RM 1404, NEW YORK, NY 10017-7863
(646) 998-8128
Mailing address
501 5TH AVE RM 1404, NEW YORK, NY 10017-7863
(646) 998-8128
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
342991
NY
Other
Enumeration date
10/04/2012
Last updated
10/04/2012
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