Provider Demographics
NPI:1346389921
Name:ASNANI, DEEPIKA (PT, MHS)
Entity Type:Individual
Prefix:MS
First Name:DEEPIKA
Middle Name:
Last Name:ASNANI
Suffix:
Gender:F
Credentials:PT, MHS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6 MARK PL
Mailing Address - Street 2:
Mailing Address - City:OCEAN
Mailing Address - State:NJ
Mailing Address - Zip Code:07712-7626
Mailing Address - Country:US
Mailing Address - Phone:732-686-9144
Mailing Address - Fax:732-276-4277
Practice Address - Street 1:254 BRICK BLVD STE 7
Practice Address - Street 2:
Practice Address - City:BRICK
Practice Address - State:NJ
Practice Address - Zip Code:08723-7105
Practice Address - Country:US
Practice Address - Phone:732-686-9144
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-06
Last Update Date:2020-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI225100000X
NJ40QA01217700225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist