Healthcare Provider Details

I. General information

NPI: 1962168039
Provider Name (Legal Business Name): NAVPREET KAUR TIWANA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/12/2021
Last Update Date: 11/12/2021
Certification Date: 11/07/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

26537 CARMEL RANCHO BLVD
CARMEL CA
93923-8701
US

IV. Provider business mailing address

36 CHRISTENSEN AVE
SALINAS CA
93906-4104
US

V. Phone/Fax

Practice location:
  • Phone: 831-250-5488
  • Fax:
Mailing address:
  • Phone: 140-840-2177
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number301176
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: