Provider Demographics
NPI:1164635330
Name:SAXENA, RANI (PT/PGDR)
Entity Type:Individual
Prefix:MRS
First Name:RANI
Middle Name:
Last Name:SAXENA
Suffix:
Gender:F
Credentials:PT/PGDR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8695 CONNECTICUT ST STE A
Mailing Address - Street 2:
Mailing Address - City:MERRILLVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:46410-6240
Mailing Address - Country:US
Mailing Address - Phone:219-525-4815
Mailing Address - Fax:219-267-1707
Practice Address - Street 1:8695 CONNECTICUT ST STE A
Practice Address - Street 2:
Practice Address - City:MERRILLVILLE
Practice Address - State:IN
Practice Address - Zip Code:46410-6240
Practice Address - Country:US
Practice Address - Phone:219-525-4815
Practice Address - Fax:219-267-1707
Is Sole Proprietor?:No
Enumeration Date:2007-05-07
Last Update Date:2019-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN05008950A225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist