Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251N0400X | Physical Therapist - Neurology |
NPI | 1285018010 |
---|---|
Provider Name | Sneha Sutaria |
First Address | Marion, IN 46952-1448 |
Second Address | Marion, IN 46953-5341 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/07/2015 |
Last Update Date | 10/07/2015 |