Provider Demographics
NPI:1184209728
Name:GAGRAJ, DUNEETA (CRT)
Entity Type:Individual
Prefix:
First Name:DUNEETA
Middle Name:
Last Name:GAGRAJ
Suffix:
Gender:F
Credentials:CRT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7170 OKEECHOBEE BLVD APT 1403
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33411-2487
Mailing Address - Country:US
Mailing Address - Phone:347-639-6142
Mailing Address - Fax:
Practice Address - Street 1:7170 OKEECHOBEE BLVD APT 1403
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33411-2487
Practice Address - Country:US
Practice Address - Phone:347-639-6142
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-03-15
Last Update Date:2021-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLTT16610227800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes227800000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, Certified