Provider Demographics
NPI:1639247117
Name:TREHAN, DALJEET KAUR (PT)
Entity Type:Individual
Prefix:MISS
First Name:DALJEET
Middle Name:KAUR
Last Name:TREHAN
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:DALJEET
Other - Middle Name:KAUR
Other - Last Name:TREHAN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:5039 PIKE CREEK BLVD
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46254-5757
Mailing Address - Country:US
Mailing Address - Phone:317-270-8836
Mailing Address - Fax:
Practice Address - Street 1:5039 PIKE CREEK BLVD
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46254-5757
Practice Address - Country:US
Practice Address - Phone:317-270-8836
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-01
Last Update Date:2016-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN05006448A225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN200602650OtherWEB INTERCHANGE
IN200702350AOtherWEB INTERCHANGE