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NPI Code Detail

MEDICARE: MISS JANVI BHADRA MPT

MEDICARE:  MISS JANVI  BHADRA  MPT
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
1208100000XPhysical Medicine & Rehabilitation Physician05012717AIN
2225100000XPhysical Therapist05012717AIN

General Provider Information

NPI Number : 1588373633
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS JANVI BHADRA MPT
Provider Business Mailing Address
First Line : 2122 YORK RD STE 300
Second Line :
City : OAK BROOK
State : IL
Zip : 60523-1925
Country : US
Telephone Number : 630-575-1980
Fax Number :
Provider Business Practice Location Address
First Line : 3911 W CLARA LN
Second Line :
City : MUNCIE
State : IN
Zip : 47304-5412
Country : US
Telephone Number : 765-587-0241
Fax Number : 765-245-9833
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/17/2022
Last Update Date : 11/17/2022

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Directions to “ MISS JANVI BHADRA MPT” Practice Location

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