Provider Demographics
NPI:1750727566
Name:GOSALIA, SUCHI V (MS PT)
Entity type:Individual
Prefix:MISS
First Name:SUCHI
Middle Name:V
Last Name:GOSALIA
Suffix:
Gender:F
Credentials:MS PT
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Mailing Address - Street 1:10201 BALTIMORE AVE
Mailing Address - Street 2:APT 5302
Mailing Address - City:COLLEGE PARK
Mailing Address - State:MD
Mailing Address - Zip Code:20740-4216
Mailing Address - Country:US
Mailing Address - Phone:412-925-5249
Mailing Address - Fax:
Practice Address - Street 1:4922 LASALLE RD
Practice Address - Street 2:#LL 03
Practice Address - City:HYATTSVILLE
Practice Address - State:MD
Practice Address - Zip Code:20782-3302
Practice Address - Country:US
Practice Address - Phone:301-864-2333
Practice Address - Fax:914-207-1162
Is Sole Proprietor?:No
Enumeration Date:2013-05-20
Last Update Date:2014-11-14
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Provider Licenses
StateLicense IDTaxonomies
NY036029225100000X
MD24717225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist