Provider Demographics
NPI:1063658037
Name:KAPLAN, MIRA (DPT)
Entity Type:Individual
Prefix:DR
First Name:MIRA
Middle Name:
Last Name:KAPLAN
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:636 W 238TH ST
Mailing Address - Street 2:APT #3
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10463-1400
Mailing Address - Country:US
Mailing Address - Phone:347-346-4811
Mailing Address - Fax:646-365-3474
Practice Address - Street 1:636 W 238TH ST
Practice Address - Street 2:APT#3
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10463-1400
Practice Address - Country:US
Practice Address - Phone:917-225-5514
Practice Address - Fax:646-365-3474
Is Sole Proprietor?:Yes
Enumeration Date:2008-12-22
Last Update Date:2008-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY620293912251P0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatrics