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NPI Code Detail

MEDICARE: PREETI JAGADALE

MEDICARE: PREETI JAGADALE
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
12251G0304XGeriatric Physical TherapistPA

General Provider Information

NPI Number : 1396574596
Entity Type Code : Individual
Provider Name (Legal Business Name) : PREETI JAGADALE
Provider Business Mailing Address
First Line : 18 CHASE DR
Second Line :
City : SHARON
State : MA
Zip : 02067-2903
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1695 LENAPE RD
Second Line :
City : WEST CHESTER
State : PA
Zip : 19382-6801
Country : US
Telephone Number : 978-810-1153
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/29/2024
Last Update Date : 07/29/2024

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Directions to “ PREETI JAGADALE ” Practice Location

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