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NPI Code Detail

MEDICARE: MRS. PREETI S VAKHARIYA PT

MEDICARE:  MRS. PREETI S VAKHARIYA  PT
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
1225100000XPhysical Therapist5501008672MI
22251G0304XGeriatric Physical Therapist5501008672MI
32251N0400XNeurology Physical Therapist5501008672MI
42251S0007XSports Physical Therapist5501008672MI
52251X0800XOrthopedic Physical Therapist5501008672MI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1650E900150OTHERMIBCBS

General Provider Information

NPI Number : 1861418634
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. PREETI S VAKHARIYA PT
Provider Business Mailing Address
First Line : 7762 NORTH FEDERAL RD
Second Line : P.0.BOX 256
City : HOWARDCITY
State : MI
Zip : 49329
Country : US
Telephone Number : 231-937-8485
Fax Number : 231-937-9836
Provider Business Practice Location Address
First Line : 7762 NORTH FEDERAL RD
Second Line :
City : HOWARD CITY
State : MI
Zip : 49329
Country : US
Telephone Number : 231-937-8485
Fax Number : 231-937-9836
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/14/2006
Last Update Date : 11/13/2012

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Directions to “ MRS. PREETI S VAKHARIYA PT” Practice Location

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