Healthcare Provider Details

I. General information

NPI: 1972430478
Provider Name (Legal Business Name): TEJASHREE RAJHANS DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/07/2026
Last Update Date: 05/07/2026
Certification Date: 05/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

123 DWIGHT RD
LONGMEADOW MA
01106-1993
US

IV. Provider business mailing address

123 DWIGHT RD
LONGMEADOW MA
01106-1993
US

V. Phone/Fax

Practice location:
  • Phone: 413-213-2678
  • Fax:
Mailing address:
  • Phone: 413-213-2678
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPTL89488
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: