Provider Demographics
NPI:1194827527
Name:PARIKH, SMITA VIJAY (PHYSICAL THERAPIST)
Entity Type:Individual
Prefix:
First Name:SMITA
Middle Name:VIJAY
Last Name:PARIKH
Suffix:
Gender:F
Credentials:PHYSICAL THERAPIST
Other - Prefix:
Other - First Name:SMITABEN
Other - Middle Name:KANTILAL
Other - Last Name:DESAI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHYSICAL THERAPIST
Mailing Address - Street 1:984, ROUTE 9 S
Mailing Address - Street 2:SUITE 9
Mailing Address - City:PARLIN
Mailing Address - State:NJ
Mailing Address - Zip Code:08859
Mailing Address - Country:US
Mailing Address - Phone:732-525-8802
Mailing Address - Fax:732-525-1401
Practice Address - Street 1:984, ROUTE 9 S
Practice Address - Street 2:SUITE 9
Practice Address - City:PARLIN
Practice Address - State:NJ
Practice Address - Zip Code:08859
Practice Address - Country:US
Practice Address - Phone:732-525-8802
Practice Address - Fax:732-525-1401
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ40QA00486900261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy