Provider Demographics
NPI:1295177780
Name:PALACIOS, RASHMI BANDEKAR (DPT)
Entity Type:Individual
Prefix:
First Name:RASHMI
Middle Name:BANDEKAR
Last Name:PALACIOS
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:RASHMI
Other - Middle Name:VIJAY
Other - Last Name:BANDEKAR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DPT
Mailing Address - Street 1:30401 VIA CHICO PL
Mailing Address - Street 2:
Mailing Address - City:LAGUNA NIGUEL
Mailing Address - State:CA
Mailing Address - Zip Code:92677-2135
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1125 S BEVERLY DR STE 610
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90035-1182
Practice Address - Country:US
Practice Address - Phone:949-300-2408
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-07-24
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist