Provider Demographics
NPI:1184003048
Name:KAPOOR, TANMEET K
Entity Type:Individual
Prefix:MS
First Name:TANMEET
Middle Name:K
Last Name:KAPOOR
Suffix:
Gender:F
Credentials:
Other - Prefix:MS
Other - First Name:TANMEET
Other - Middle Name:KAUR
Other - Last Name:BANSAL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1005 MT.OLIVE DRIVE
Mailing Address - Street 2:APT#28
Mailing Address - City:DUARTE
Mailing Address - State:CA
Mailing Address - Zip Code:91010-2191
Mailing Address - Country:US
Mailing Address - Phone:909-670-6328
Mailing Address - Fax:626-531-6514
Practice Address - Street 1:1005 MOUNT OLIVE DRIVE
Practice Address - Street 2:APT#28
Practice Address - City:DUARTE
Practice Address - State:CA
Practice Address - Zip Code:91010-2191
Practice Address - Country:US
Practice Address - Phone:909-670-6328
Practice Address - Fax:626-531-6514
Is Sole Proprietor?:Yes
Enumeration Date:2015-05-26
Last Update Date:2020-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT31860225100000X
CAPT294294225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist