Provider Demographics
NPI:1982144556
Name:ARORA, SHRUTI (PT)
Entity Type:Individual
Prefix:
First Name:SHRUTI
Middle Name:
Last Name:ARORA
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13954 IVORY GARDENIA AVE
Mailing Address - Street 2:
Mailing Address - City:WINDERMERE
Mailing Address - State:FL
Mailing Address - Zip Code:34786-3197
Mailing Address - Country:US
Mailing Address - Phone:201-486-8477
Mailing Address - Fax:973-352-6117
Practice Address - Street 1:13954 IVORY GARDENIA AVE
Practice Address - Street 2:
Practice Address - City:WINDERMERE
Practice Address - State:FL
Practice Address - Zip Code:34786-3197
Practice Address - Country:US
Practice Address - Phone:201-486-8477
Practice Address - Fax:973-352-6117
Is Sole Proprietor?:Yes
Enumeration Date:2017-03-02
Last Update Date:2017-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT32322225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist