MEDICARE: MISS KINJAL VORA

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	1214958	TX

General Provider Information

NPI Number	:	1750655957
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MISS KINJAL VORA

Provider Business Mailing Address
First Line	:	3327 RESEARCH PLZ
Second Line	:	SUITE 109
City	:	SAN ANTONIO
State	:	TX
Zip	:	78235-5155
Country	:	US
Telephone Number	:	210-297-3725
Fax Number	:

Provider Business Practice Location Address
First Line	:	3327 RESEARCH PLZ
Second Line	:	SUITE 109
City	:	SAN ANTONIO
State	:	TX
Zip	:	78235-5155
Country	:	US
Telephone Number	:	210-297-3725
Fax Number	:

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

Provider Enumeration Date	:	03/06/2012
Last Update Date	:	03/12/2013

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