Provider Demographics
NPI:1316372162
Name:TOLANI, DARSHANA RAJESH
Entity Type:Individual
Prefix:MRS
First Name:DARSHANA
Middle Name:RAJESH
Last Name:TOLANI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9 LIVINGSTON CT
Mailing Address - Street 2:
Mailing Address - City:MARLBORO
Mailing Address - State:NJ
Mailing Address - Zip Code:07746-2746
Mailing Address - Country:US
Mailing Address - Phone:862-225-2792
Mailing Address - Fax:
Practice Address - Street 1:1940 COMMERCES STREET, STE 210
Practice Address - Street 2:PRIME REHABILITATION SERVICES
Practice Address - City:YORKTOWN HEIGHTS
Practice Address - State:NY
Practice Address - Zip Code:10598
Practice Address - Country:US
Practice Address - Phone:914-420-3132
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-12
Last Update Date:2013-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ46TR00160300225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist