MEDICARE: GUNJAN KALRA 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
1	225100000X	Physical Therapist	2305206280	VA

General Provider Information

NPI Number	:	1598317950
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GUNJAN KALRA PT

Provider Business Mailing Address
First Line	:	7 CLYDE RD
Second Line	:
City	:	SOMERSET
State	:	NJ
Zip	:	08873-5049
Country	:	US
Telephone Number	:	877-910-3617
Fax Number	:	732-532-0751

Provider Business Practice Location Address
First Line	:	111 DENNY LN
Second Line	:
City	:	WINCHESTER
State	:	VA
Zip	:	22603-4832
Country	:	US
Telephone Number	:	877-910-3617
Fax Number	:	732-532-0751

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/15/2019
Last Update Date	:	06/12/2026

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