Provider Demographics
NPI:1033658018
Name:M10 CONSULTING SOLUTIONS INC
Entity type:Organization
Organization Name:M10 CONSULTING SOLUTIONS INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:DEESHA
Authorized Official - Middle Name:
Authorized Official - Last Name:MARVANIA
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:732-690-0879
Mailing Address - Street 1:125 STRAWBERRY HILL AVE STE 102
Mailing Address - Street 2:
Mailing Address - City:STAMFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06902-2536
Mailing Address - Country:US
Mailing Address - Phone:203-548-0475
Mailing Address - Fax:203-614-8746
Practice Address - Street 1:125 STRAWBERRY HILL AVE
Practice Address - Street 2:SUITE 102
Practice Address - City:STAMFORD
Practice Address - State:CT
Practice Address - Zip Code:06902-2536
Practice Address - Country:US
Practice Address - Phone:732-690-0879
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-23
Last Update Date:2019-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
335E00000X
CT10471225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
No335E00000XSuppliersProsthetic/Orthotic SupplierGroup - Single Specialty