Phani Jaya Sree Kaza, PT

NPI #1871883249 in Selden, New York

Provider Information

NPI Number
1871883249
Entity Type
Individual
Name
Phani Jaya Sree Kaza, PT
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Physical Therapist
Credential
PT
Enumeration Date
Apr 19, 2011
Last Updated
Apr 19, 2011

Practice Location

Address
260 MIDDLE COUNTRY RD
Address 2
BLDG.3, SUITE 9-A
City
Selden
ZIP Code
11784-2568
Phone
(631) 732-1600

Specialties & Taxonomy Codes

Specialty
Physical Therapist

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