Provider Demographics
NPI:1568180230
Name:JOHAL, HARJUNT SINGH (DPT)
Entity Type:Individual
Prefix:
First Name:HARJUNT
Middle Name:SINGH
Last Name:JOHAL
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5190 SW 8TH ST
Mailing Address - Street 2:
Mailing Address - City:CORAL GABLES
Mailing Address - State:FL
Mailing Address - Zip Code:33134-2476
Mailing Address - Country:US
Mailing Address - Phone:305-448-1585
Mailing Address - Fax:
Practice Address - Street 1:5190 SW 8TH ST
Practice Address - Street 2:
Practice Address - City:CORAL GABLES
Practice Address - State:FL
Practice Address - Zip Code:33134-2476
Practice Address - Country:US
Practice Address - Phone:305-448-1585
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-08-18
Last Update Date:2022-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1352907225100000X
FLPT39002225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist