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NPI Code Detail

MEDICARE: MR. PREMJIT KUMAR RAMACHANDRAN LPTA

MEDICARE: MR. PREMJIT KUMAR RAMACHANDRAN LPTA
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
1225200000XPhysical Therapy Assistant2826NC

General Provider Information

NPI Number : 1972839355
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. PREMJIT KUMAR RAMACHANDRAN LPTA
Provider Business Mailing Address
First Line : 5120 HARTRIDGE WAY
Second Line :
City : GREENSBORO
State : NC
Zip : 27407-6137
Country : US
Telephone Number : 336-547-9267
Fax Number :
Provider Business Practice Location Address
First Line : 109 PENNY RD
Second Line :
City : HIGH POINT
State : NC
Zip : 27260-2500
Country : US
Telephone Number : 336-821-6592
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/20/2009
Last Update Date : 10/20/2009

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