Provider Demographics
NPI:1851575773
Name:KHURANA, MONIKA (PT, MPT)
Entity Type:Individual
Prefix:
First Name:MONIKA
Middle Name:
Last Name:KHURANA
Suffix:
Gender:F
Credentials:PT, MPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1000 SUNRISE AVE
Mailing Address - Street 2:SUITE 6A
Mailing Address - City:ROSEVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:95661-7005
Mailing Address - Country:US
Mailing Address - Phone:916-786-7837
Mailing Address - Fax:916-786-7844
Practice Address - Street 1:1000 SUNRISE AVE
Practice Address - Street 2:SUITE 6A
Practice Address - City:ROSEVILLE
Practice Address - State:CA
Practice Address - Zip Code:95661-7005
Practice Address - Country:US
Practice Address - Phone:916-786-7837
Practice Address - Fax:916-786-7844
Is Sole Proprietor?:No
Enumeration Date:2007-12-27
Last Update Date:2013-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPT30164225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist