Provider Demographics
NPI:1104030428
Name:APTE, PRACHI
Entity Type:Individual
Prefix:
First Name:PRACHI
Middle Name:
Last Name:APTE
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 1:5725 RIDGEWAY DR
Mailing Address - Street 2:APT 7
Mailing Address - City:HASLETT
Mailing Address - State:MI
Mailing Address - Zip Code:48840-8920
Mailing Address - Country:US
Mailing Address - Phone:484-477-7667
Mailing Address - Fax:
Practice Address - Street 1:9480 E M 21
Practice Address - Street 2:
Practice Address - City:OVID
Practice Address - State:MI
Practice Address - Zip Code:48866-9569
Practice Address - Country:US
Practice Address - Phone:989-834-2228
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5501013121225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist