Provider Demographics
NPI:1750726832
Name:NERI, BELLA LYNDA PARAWAN (RPT)
Entity type:Individual
Prefix:MS
First Name:BELLA LYNDA
Middle Name:PARAWAN
Last Name:NERI
Suffix:
Gender:F
Credentials:RPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5800 W SAMPLE RD APT 206
Mailing Address - Street 2:
Mailing Address - City:CORAL SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:33067-3238
Mailing Address - Country:US
Mailing Address - Phone:646-269-7813
Mailing Address - Fax:
Practice Address - Street 1:5800 W SAMPLE RD APT 206
Practice Address - Street 2:
Practice Address - City:CORAL SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33067-3238
Practice Address - Country:US
Practice Address - Phone:646-269-7813
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-05-03
Last Update Date:2013-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC14202225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist