Provider Demographics
NPI:1710113501
Name:RISHIRAJ, NEETU (ATC, PHD CANDIDATE)
Entity Type:Individual
Prefix:
First Name:NEETU
Middle Name:
Last Name:RISHIRAJ
Suffix:
Gender:M
Credentials:ATC, PHD CANDIDATE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:ACTIN HEALTH AND REHABILITATION INC.
Mailing Address - Street 2:5767 OAK STREET
Mailing Address - City:VANCOUVER
Mailing Address - State:BRITISH COLUMBIA
Mailing Address - Zip Code:V6M2V7
Mailing Address - Country:CA
Mailing Address - Phone:1604-244-3614
Mailing Address - Fax:1604-263-0477
Practice Address - Street 1:ACTIN HEALTH AND REHABILITATION INC.
Practice Address - Street 2:5767 OAK STREET
Practice Address - City:VANCOUVER
Practice Address - State:BRITISH COLUMBIA
Practice Address - Zip Code:V6M2V7
Practice Address - Country:CA
Practice Address - Phone:1604-244-3614
Practice Address - Fax:1604-263-0477
Is Sole Proprietor?:No
Enumeration Date:2009-06-07
Last Update Date:2009-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer