Provider Demographics
NPI:1073857892
Name:INAMDAR, AMIE G (PT, DPT)
Entity Type:Individual
Prefix:
First Name:AMIE
Middle Name:G
Last Name:INAMDAR
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5514 ATASCOCITA RD
Mailing Address - Street 2:SUITE 160
Mailing Address - City:HUMBLE
Mailing Address - State:TX
Mailing Address - Zip Code:77346-2968
Mailing Address - Country:US
Mailing Address - Phone:281-441-5371
Mailing Address - Fax:281-441-5373
Practice Address - Street 1:5514 ATASCOCITA RD
Practice Address - Street 2:SUITE 160
Practice Address - City:HUMBLE
Practice Address - State:TX
Practice Address - Zip Code:77346-2968
Practice Address - Country:US
Practice Address - Phone:281-441-5371
Practice Address - Fax:281-441-5373
Is Sole Proprietor?:No
Enumeration Date:2012-11-16
Last Update Date:2012-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1224433225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist