MEDICARE: MS. DEEPIKA GOYAL SAXENA 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	PT35253	CA

General Provider Information

NPI Number	:	1396981080
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. DEEPIKA GOYAL SAXENA PT,DPT

Provider Business Mailing Address
First Line	:	3128 SENTINEL FERRY LN
Second Line	:
City	:	CARY
State	:	NC
Zip	:	27519-7522
Country	:	US
Telephone Number	:	408-317-8960
Fax Number	:

Provider Business Practice Location Address
First Line	:	519 KEISLER DR STE 102
Second Line	:
City	:	CARY
State	:	NC
Zip	:	27518-7098
Country	:	US
Telephone Number	:	919-851-6740
Fax Number	:

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

Provider Enumeration Date	:	12/30/2008
Last Update Date	:	06/26/2020

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