Most Relevant Information
Provider Data
| NPI Number: | 1003303942 |
| Provider Name: | SUVIDHA BANSAL PT |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: | 40QA01676700 |
Most Important Dates
| Enumeration Date: | 04/17/2018 |
| Last Updated: | 04/17/2018 |
Provider Practice Location
2610 INVERNESS DR
TOMS RIVER
NJ
087536316
Practice Location Phone/Fax
| Phone: | 0185073812 |
| Fax: |
Provider Mailing Location
2610 INVERNESS DR
TOMS RIVER
NJ
087536316
Provider Mailing Phone/Fax
| Phone: | 0185073812 |
| Fax: |