Provider Demographics
NPI:1558792721
Name:RANE, KALPITA H (PT)
Entity Type:Individual
Prefix:
First Name:KALPITA
Middle Name:H
Last Name:RANE
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:115 W SQUANTUM ST
Mailing Address - Street 2:APT 805
Mailing Address - City:QUINCY
Mailing Address - State:MA
Mailing Address - Zip Code:02171-2124
Mailing Address - Country:US
Mailing Address - Phone:857-318-4476
Mailing Address - Fax:
Practice Address - Street 1:1520 BLUE HILL AVE
Practice Address - Street 2:
Practice Address - City:MATTAPAN
Practice Address - State:MA
Practice Address - Zip Code:02126-1747
Practice Address - Country:US
Practice Address - Phone:617-298-6325
Practice Address - Fax:617-298-5410
Is Sole Proprietor?:No
Enumeration Date:2013-12-12
Last Update Date:2014-04-29
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA19958225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist