Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251X0800X | Physical Therapist - Orthopedic | 032239 | NY |
NPI | 1033422936 |
---|---|
Provider Name | Ms. Manali Patwardhan |
First Address | Jersey City, NJ 07310-1503 |
Second Address | New York, NY 10016-5018 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/07/2010 |
Last Update Date | 20/07/2010 |