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NPI Code Detail

MEDICARE: DR. PRANALI BHAVSAR PT, DPT

MEDICARE: DR. PRANALI BHAVSAR PT, DPT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist40QA01978800NJ

General Provider Information

NPI Number : 1154908515
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. PRANALI BHAVSAR PT, DPT
Provider Business Mailing Address
First Line : 2633 ENTRADA TRANQUILA WAY
Second Line :
City : PFLUGERVILLE
State : TX
Zip : 78660-6840
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 8324 CAMERON RD
Second Line :
City : AUSTIN
State : TX
Zip : 78754-3990
Country : US
Telephone Number : 737-241-0800
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/24/2021
Last Update Date : 05/21/2024

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