Basic Information
Provider Information
NPI: 1467991059
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ARORA
FirstName: SUMEET
MiddleName:  
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Credential:  
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Mailing Information
Address1: 790 REMINGTON BLVD
Address2:  
City: BOLINGBROOK
State: IL
PostalCode: 604404909
CountryCode: US
TelephoneNumber: 6302962223
FaxNumber: 6307599510
Practice Location
Address1: 1381-1383 DILWORTHTOWN CROSSING
Address2:  
City: WEST CHESTER
State: PA
PostalCode: 193828267
CountryCode: US
TelephoneNumber: 6103998600
FaxNumber: 6103998601
Other Information
ProviderEnumerationDate: 02/16/2017
LastUpdateDate: 03/29/2017
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
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IsSoleProprietor: N
IsOrganizationSubpart:  
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AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
225100000X MDN Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist 
225100000XPT025928PAY Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist 

No ID Information.


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