Provider Demographics
NPI:1639970148
Name:SUPARNA DAMANY ENTERPRISES INC
Entity type:Organization
Organization Name:SUPARNA DAMANY ENTERPRISES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SUPARNA
Authorized Official - Middle Name:
Authorized Official - Last Name:DAMANY
Authorized Official - Suffix:
Authorized Official - Credentials:PT, MSPT, CHT, CEAS,
Authorized Official - Phone:610-351-9355
Mailing Address - Street 1:5000 W TILGHMAN ST STE 110
Mailing Address - Street 2:
Mailing Address - City:ALLENTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18104-9167
Mailing Address - Country:US
Mailing Address - Phone:610-351-9355
Mailing Address - Fax:610-351-2238
Practice Address - Street 1:5000 W TILGHMAN ST STE 110
Practice Address - Street 2:
Practice Address - City:ALLENTOWN
Practice Address - State:PA
Practice Address - Zip Code:18104-9167
Practice Address - Country:US
Practice Address - Phone:610-351-9355
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-20
Last Update Date:2025-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225400000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation PractitionerGroup - Multi-Specialty
No2251E1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistErgonomicsGroup - Multi-Specialty
No2251H1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistHandGroup - Multi-Specialty
No2251N0400XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistNeurologyGroup - Multi-Specialty
No2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedicGroup - Multi-Specialty