Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225100000X | Physical Therapist | 031731 | NY |
NPI | 1003113572 |
---|---|
Provider Name | Swarupa Amit Nishar |
First Address | Shrewsbury, MA 01545-2640 |
Second Address | Shrewsbury, MA 01545-2640 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/02/2011 |
Last Update Date | 29/03/2017 |