Provider Demographics
NPI:1578777520
Name:RAMPRASAD, NADIA SIOBHAN (MPT)
Entity Type:Individual
Prefix:MISS
First Name:NADIA
Middle Name:SIOBHAN
Last Name:RAMPRASAD
Suffix:
Gender:F
Credentials:MPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:45 BENTONWOOD CRES
Mailing Address - Street 2:
Mailing Address - City:WHITBY
Mailing Address - State:ONTARIO
Mailing Address - Zip Code:L1R 1K7
Mailing Address - Country:CA
Mailing Address - Phone:716-474-1226
Mailing Address - Fax:
Practice Address - Street 1:850 PAPER MILL RD
Practice Address - Street 2:
Practice Address - City:GLENSIDE
Practice Address - State:PA
Practice Address - Zip Code:19038-7833
Practice Address - Country:US
Practice Address - Phone:215-233-0920
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT018411225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist