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NPI Code Detail

MEDICARE: SITTI AYESHA H. ASJALI

MEDICARE: SITTI AYESHA H. ASJALI
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 Therapist008935CT

General Provider Information

NPI Number : 1790024404
Entity Type Code : Individual
Provider Name (Legal Business Name) : SITTI AYESHA H. ASJALI
Provider Business Mailing Address
First Line : 1175 FARMINGTON AVE APT 2-206
Second Line :
City : BRISTOL
State : CT
Zip : 06010-4716
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 145 GROVE ST
Second Line :
City : WATERBURY
State : CT
Zip : 06710-2202
Country : US
Telephone Number : 203-753-7205
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/01/2013
Last Update Date : 02/01/2013

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Directions to “ SITTI AYESHA H. ASJALI ” Practice Location

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