Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251P0200X | Physical Therapist - Pediatrics | PT 6427 | CO |
NPI | 1134243025 |
---|---|
Provider Name | Miss Sarita N Parikh |
First Address | Castle Rock, CO 80104-8008 |
Second Address | Castle Rock, CO 80104-8008 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 18/03/2007 |
Last Update Date | 05/03/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
79674763 | (05) | CO |