Provider Demographics
NPI:1922234186
Name:DAS, SEEMA D (PHYSICAL THERAPIST)
Entity Type:Individual
Prefix:
First Name:SEEMA
Middle Name:D
Last Name:DAS
Suffix:
Gender:F
Credentials:PHYSICAL THERAPIST
Other - Prefix:
Other - First Name:SEEMA
Other - Middle Name:
Other - Last Name:DHIMMER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:354 OLD HOOK RD STE G-01
Mailing Address - Street 2:
Mailing Address - City:WESTWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:07675-3246
Mailing Address - Country:US
Mailing Address - Phone:201-594-9312
Mailing Address - Fax:201-594-9440
Practice Address - Street 1:354 OLD HOOK RD STE G-01
Practice Address - Street 2:
Practice Address - City:WESTWOOD
Practice Address - State:NJ
Practice Address - Zip Code:07675-3246
Practice Address - Country:US
Practice Address - Phone:201-594-9312
Practice Address - Fax:201-594-9440
Is Sole Proprietor?:No
Enumeration Date:2009-06-02
Last Update Date:2020-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ40QA01333700225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist