Provider Demographics
NPI:1295389138
Name:PARIKH, NANCY A (RPT)
Entity Type:Individual
Prefix:MRS
First Name:NANCY
Middle Name:A
Last Name:PARIKH
Suffix:
Gender:F
Credentials:RPT
Other - Prefix:MS
Other - First Name:NANCY
Other - Middle Name:GOPALBHAI
Other - Last Name:PATEL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:865 CENTRAL AVE
Mailing Address - Street 2:
Mailing Address - City:NEEDHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02492-1316
Mailing Address - Country:US
Mailing Address - Phone:781-444-9910
Mailing Address - Fax:
Practice Address - Street 1:865 CENTRAL AVE
Practice Address - Street 2:
Practice Address - City:NEEDHAM
Practice Address - State:MA
Practice Address - Zip Code:02492-1316
Practice Address - Country:US
Practice Address - Phone:781-444-9910
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-07-29
Last Update Date:2019-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA22131225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist