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Ashok Gupta

Physical Therapist in Tyler, TX. Individual provider (NPI-1).

NPI number1124464847
StatusActive
Last updated in NPPESSep 22, 2020

Details

NPI
1124464847
Entity type
Individual (NPI-1)
Name
Mr. Ashok Gupta
Sex
Male
Sole proprietor
No
Enumeration date
May 21, 2013
Certification date
Sep 22, 2020
Last updated
Sep 22, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225100000X Physical Therapist4303NMYes

Practice location

1918 E Front St Ste A
Tyler, TX 75702-8511

Phone 903-609-1609

Mailing address

1918 E Front St
Tyler, TX 75702-8511

Phone 903-609-1609

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