Healthcare Provider Details

I. General information

NPI: 1548493653
Provider Name (Legal Business Name): APARNA ARVIND DANDEKAR PHYSICAL THERAPIST
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/24/2009
Last Update Date: 04/29/2024
Certification Date: 04/29/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

151 2ND ST
SPRING ARBOR MI
49283-9647
US

IV. Provider business mailing address

1305 WOODLOW CT
WESTLAKE VILLAGE CA
91361-1756
US

V. Phone/Fax

Practice location:
  • Phone: 517-750-1900
  • Fax:
Mailing address:
  • Phone: 617-605-0194
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number5501014581
License Number StateMI
# 2
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT292619
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code376G00000X
TaxonomyNursing Home Administrator
License Number012579
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: