Provider Demographics
NPI:1669540670
Name:POONIWALA, RASHNA ADIL (PT)
Entity type:Individual
Prefix:MRS
First Name:RASHNA
Middle Name:ADIL
Last Name:POONIWALA
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
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Mailing Address - Street 1:1109 PFINGSTEN ROAD
Mailing Address - Street 2:
Mailing Address - City:GLENVIEW
Mailing Address - State:IL
Mailing Address - Zip Code:60025
Mailing Address - Country:US
Mailing Address - Phone:847-657-9142
Mailing Address - Fax:847-657-7492
Practice Address - Street 1:8833 GROSS POINT ROAD
Practice Address - Street 2:SUITE 308
Practice Address - City:SKOKIE
Practice Address - State:IL
Practice Address - Zip Code:60077-1859
Practice Address - Country:US
Practice Address - Phone:847-674-2630
Practice Address - Fax:847-674-4042
Is Sole Proprietor?:No
Enumeration Date:2006-11-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IL225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist