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Parth Sureja

Physical Therapist in South Windsor, CT. Individual provider (NPI-1).

NPI number1164063103
StatusActive
Last updated in NPPESOct 1, 2019

Details

NPI
1164063103
Entity type
Individual (NPI-1)
Name
Parth Sureja
Sex
Male
Sole proprietor
Yes
Enumeration date
Oct 1, 2019
Last updated
Oct 1, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225100000X Physical Therapist24178MAYes

Practice location

75 Gilbert Ln
South Windsor, CT 06074-3606

Phone 860-948-8363

Mailing address

75 Gilbert Ln
South Windsor, CT 06074-3606

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