Provider Demographics
NPI:1396016143
Name:DHINGRA, VANITA (PT)
Entity Type:Individual
Prefix:MS
First Name:VANITA
Middle Name:
Last Name:DHINGRA
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19235 15TH AVE NW
Mailing Address - Street 2:
Mailing Address - City:SHORELINE
Mailing Address - State:WA
Mailing Address - Zip Code:98177-2725
Mailing Address - Country:US
Mailing Address - Phone:206-546-2666
Mailing Address - Fax:206-542-1164
Practice Address - Street 1:19235 15TH AVE NW
Practice Address - Street 2:
Practice Address - City:SHORELINE
Practice Address - State:WA
Practice Address - Zip Code:98177-2725
Practice Address - Country:US
Practice Address - Phone:206-546-2666
Practice Address - Fax:206-542-1164
Is Sole Proprietor?:No
Enumeration Date:2012-01-24
Last Update Date:2012-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPT 60080953225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist