Provider Demographics
NPI:1689251647
Name:SETH, NIDHI N (PT, DPT)
Entity Type:Individual
Prefix:
First Name:NIDHI
Middle Name:N
Last Name:SETH
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9360 FALLS OF NEUSE RD STE 105
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27615-2485
Mailing Address - Country:US
Mailing Address - Phone:919-387-7409
Mailing Address - Fax:919-307-3335
Practice Address - Street 1:9360 FALLS OF NEUSE RD STE 105
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27615-2485
Practice Address - Country:US
Practice Address - Phone:919-387-7409
Practice Address - Fax:919-307-3335
Is Sole Proprietor?:Yes
Enumeration Date:2021-03-25
Last Update Date:2024-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA291320225100000X
NCP22122225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty