Provider Demographics
NPI:1184330177
Name:RAWAT, SUNITA
Entity type:Individual
Prefix:
First Name:SUNITA
Middle Name:
Last Name:RAWAT
Suffix:
Gender:F
Credentials:
Other - Prefix:MISS
Other - First Name:SUNITA
Other - Middle Name:
Other - Last Name:RAWAT
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:COTA
Mailing Address - Street 1:301 SICOMAC AVE
Mailing Address - Street 2:
Mailing Address - City:WYCKOFF
Mailing Address - State:NJ
Mailing Address - Zip Code:07481-2159
Mailing Address - Country:US
Mailing Address - Phone:201-848-5847
Mailing Address - Fax:
Practice Address - Street 1:35-09 FAIR LAWN AVE
Practice Address - Street 2:
Practice Address - City:FAIR LAWN
Practice Address - State:NJ
Practice Address - Zip Code:07410-4341
Practice Address - Country:US
Practice Address - Phone:718-844-9645
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-01-24
Last Update Date:2023-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0019XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPhysical Rehabilitation