Provider Demographics
NPI:1821081662
Name:KANERIA, TRUPTI M (PHYSICAL THERAPIST)
Entity Type:Individual
Prefix:MRS
First Name:TRUPTI
Middle Name:M
Last Name:KANERIA
Suffix:
Gender:F
Credentials:PHYSICAL THERAPIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6843 ROUTE 434
Mailing Address - Street 2:SUITE1
Mailing Address - City:APALACHIN
Mailing Address - State:NY
Mailing Address - Zip Code:13732-3503
Mailing Address - Country:US
Mailing Address - Phone:607-625-2022
Mailing Address - Fax:607-625-2022
Practice Address - Street 1:6843 ROUTE 434
Practice Address - Street 2:SUITE1
Practice Address - City:APALACHIN
Practice Address - State:NY
Practice Address - Zip Code:13732-3503
Practice Address - Country:US
Practice Address - Phone:607-625-2022
Practice Address - Fax:607-625-2022
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-08-26
Last Update Date:2007-07-08
Deactivation Date:2006-03-27
Deactivation Code:
Reactivation Date:2006-04-07
Provider Licenses
StateLicense IDTaxonomies
NY023397225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist