Provider Demographics
NPI:1396886933
Name:SHENOY, PRAJNYA (PT)
Entity type:Individual
Prefix:
First Name:PRAJNYA
Middle Name:
Last Name:SHENOY
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:PRAJNYA
Other - Middle Name:
Other - Last Name:SHENOY KATAPADIKAR
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:790 REMINGTON BLVD
Mailing Address - Street 2:
Mailing Address - City:BOLINGBROOK
Mailing Address - State:IL
Mailing Address - Zip Code:60440-4909
Mailing Address - Country:US
Mailing Address - Phone:866-370-8206
Mailing Address - Fax:517-435-3670
Practice Address - Street 1:10415 GRAND RIVER RD STE 300
Practice Address - Street 2:
Practice Address - City:BRIGHTON
Practice Address - State:MI
Practice Address - Zip Code:48116-6533
Practice Address - Country:US
Practice Address - Phone:810-229-6140
Practice Address - Fax:810-229-6145
Is Sole Proprietor?:No
Enumeration Date:2007-02-08
Last Update Date:2023-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist