Provider Demographics
NPI:1144787946
Name:AIRI, ADITI
Entity Type:Individual
Prefix:
First Name:ADITI
Middle Name:
Last Name:AIRI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:ADITI
Other - Middle Name:
Other - Last Name:AIRI
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PT
Mailing Address - Street 1:2737 WALSH AVE
Mailing Address - Street 2:
Mailing Address - City:SANTA CLARA
Mailing Address - State:CA
Mailing Address - Zip Code:95051-0965
Mailing Address - Country:US
Mailing Address - Phone:408-228-8400
Mailing Address - Fax:408-228-8401
Practice Address - Street 1:2737 WALSH AVE
Practice Address - Street 2:
Practice Address - City:SANTA CLARA
Practice Address - State:CA
Practice Address - Zip Code:95051-0965
Practice Address - Country:US
Practice Address - Phone:408-228-8400
Practice Address - Fax:408-228-8401
Is Sole Proprietor?:No
Enumeration Date:2019-02-27
Last Update Date:2019-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPT293885225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAPT293885OtherSTATE LICENSE