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NPI Code Detail

MEDICARE: ANJALI ANIRUDDHA GADRE PT

MEDICARE: ANJALI ANIRUDDHA GADRE PT
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 Therapist021923NY
2225100000XPhysical TherapistPT019135OH

General Provider Information

NPI Number : 1245421221
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANJALI ANIRUDDHA GADRE PT
Provider Business Mailing Address
First Line : 25420 KUYKENDAHL RD STE F600
Second Line :
City : THE WOODLANDS
State : TX
Zip : 77375-3405
Country : US
Telephone Number : 832-610-5564
Fax Number :
Provider Business Practice Location Address
First Line : 2835 MIAMI VILLAGE DR
Second Line :
City : MIAMISBURG
State : OH
Zip : 45342-4916
Country : US
Telephone Number : 937-449-0796
Fax Number : 937-262-7468
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/06/2007
Last Update Date : 04/19/2022

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Directions to “ ANJALI ANIRUDDHA GADRE PT” Practice Location

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