Provider Demographics
NPI:1073000576
Name:KALOLIA, KRIMA M
Entity Type:Individual
Prefix:
First Name:KRIMA
Middle Name:M
Last Name:KALOLIA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5311 NORTHFIELD RD STE 308
Mailing Address - Street 2:
Mailing Address - City:BEDFORD HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:44146-1145
Mailing Address - Country:US
Mailing Address - Phone:216-577-0224
Mailing Address - Fax:
Practice Address - Street 1:5311 NORTHFIELD RD STE 308
Practice Address - Street 2:
Practice Address - City:BEDFORD HEIGHTS
Practice Address - State:OH
Practice Address - Zip Code:44146-1145
Practice Address - Country:US
Practice Address - Phone:216-577-0224
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-04-19
Last Update Date:2019-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPT017801225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist