Provider Demographics
NPI:1922739598
Name:RAJIPO LLC
Entity Type:Organization
Organization Name:RAJIPO LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:DHRUTI
Authorized Official - Middle Name:
Authorized Official - Last Name:DIRAJLAL
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:561-972-1754
Mailing Address - Street 1:8237 SAVARA STREAMS LN
Mailing Address - Street 2:
Mailing Address - City:BOYNTON BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33473-7893
Mailing Address - Country:US
Mailing Address - Phone:561-523-2299
Mailing Address - Fax:561-523-2299
Practice Address - Street 1:8237 SAVARA STREAMS LN
Practice Address - Street 2:
Practice Address - City:BOYNTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:33473-7893
Practice Address - Country:US
Practice Address - Phone:561-972-1754
Practice Address - Fax:561-523-2299
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-23
Last Update Date:2023-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty