Provider Demographics
NPI:1568053502
Name:PAREKH, NOOPUR DINESH (OTR)
Entity Type:Individual
Prefix:
First Name:NOOPUR
Middle Name:DINESH
Last Name:PAREKH
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12264 SCARLETT WAY
Mailing Address - Street 2:
Mailing Address - City:CONCORD TOWNSHIP
Mailing Address - State:OH
Mailing Address - Zip Code:44077-8512
Mailing Address - Country:US
Mailing Address - Phone:419-494-3136
Mailing Address - Fax:
Practice Address - Street 1:7442 FRANK AVE NW
Practice Address - Street 2:
Practice Address - City:NORTH CANTON
Practice Address - State:OH
Practice Address - Zip Code:44720-7022
Practice Address - Country:US
Practice Address - Phone:330-477-9720
Practice Address - Fax:330-491-2049
Is Sole Proprietor?:Yes
Enumeration Date:2021-02-02
Last Update Date:2021-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHOT011367225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist