Provider Demographics
NPI:1801268917
Name:VERMA, SMITA (PT)
Entity type:Individual
Prefix:
First Name:SMITA
Middle Name:
Last Name:VERMA
Suffix:
Gender:F
Credentials:PT
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Other - First Name:
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Mailing Address - Street 1:7101 CREEDMOOR RD STE 102
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27613-1684
Mailing Address - Country:US
Mailing Address - Phone:919-848-3333
Mailing Address - Fax:919-848-3393
Practice Address - Street 1:7101 CREEDMOOR RD
Practice Address - Street 2:SUITE 102
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27613-1682
Practice Address - Country:US
Practice Address - Phone:919-848-3333
Practice Address - Fax:919-848-3393
Is Sole Proprietor?:No
Enumeration Date:2015-10-28
Last Update Date:2015-12-16
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NCP15915225100000X, 2251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist