Provider Demographics
NPI:1417080383
Name:ADANI, URVI KIRIT
Entity Type:Individual
Prefix:
First Name:URVI
Middle Name:KIRIT
Last Name:ADANI
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 1:2222 SULLIVAN TRL
Mailing Address - Street 2:
Mailing Address - City:EASTON
Mailing Address - State:PA
Mailing Address - Zip Code:18040-7958
Mailing Address - Country:US
Mailing Address - Phone:800-944-9782
Mailing Address - Fax:
Practice Address - Street 1:200 GUADALUPE DR
Practice Address - Street 2:SUITE 201
Practice Address - City:IRVING
Practice Address - State:TX
Practice Address - Zip Code:75039-3335
Practice Address - Country:US
Practice Address - Phone:214-883-1110
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-13
Last Update Date:2014-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1164859225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist