Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251N0400X | Physical Therapist - Neurology | 21170 | MA |
NPI | 1568861151 |
---|---|
Provider Name | Nibha Bharat Kumbhani |
First Address | Fall River, MA 02723-1025 |
Second Address | Fall River, MA 02723-1025 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/08/2014 |
Last Update Date | 19/08/2014 |