MEDICARE: NEHA KATOCH PT,DPT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	039498	NY
2	225100000X	Physical Therapist	303919	CA

General Provider Information

NPI Number	:	1396118121
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NEHA KATOCH PT,DPT

Provider Business Mailing Address
First Line	:	2999 OLYMPUS BLVD STE 500
Second Line	:
City	:	COPPELL
State	:	TX
Zip	:	75019-1205
Country	:	US
Telephone Number	:	866-871-8519
Fax Number	:

Provider Business Practice Location Address
First Line	:	2999 OLYMPUS BLVD STE 500
Second Line	:
City	:	COPPELL
State	:	TX
Zip	:	75019-1205
Country	:	US
Telephone Number	:	866-871-8519
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/02/2015
Last Update Date	:	11/22/2024

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