Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251N0400X | Physical Therapist - Neurology | 034325 | NY |
NPI | 1194090852 |
---|---|
Provider Name | Shuchismitha Ravi Swaminathan |
First Address | Pittsburgh, PA 15213-3236 |
Second Address | Pittsburgh, PA 15213-3236 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/03/2012 |
Last Update Date | 17/03/2018 |