Provider Demographics
NPI:1750858528
Name:KIKANI, TAPAN (PT, PHD)
Entity Type:Individual
Prefix:
First Name:TAPAN
Middle Name:
Last Name:KIKANI
Suffix:
Gender:F
Credentials:PT, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:106 BLUE JAY WAY
Mailing Address - Street 2:
Mailing Address - City:NORTH WALES
Mailing Address - State:PA
Mailing Address - Zip Code:19454-4282
Mailing Address - Country:US
Mailing Address - Phone:215-429-0331
Mailing Address - Fax:
Practice Address - Street 1:106 BLUE JAY WAY
Practice Address - Street 2:
Practice Address - City:NORTH WALES
Practice Address - State:PA
Practice Address - Zip Code:19454-4282
Practice Address - Country:US
Practice Address - Phone:215-429-0331
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-10-30
Last Update Date:2018-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT008842E225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist