Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225100000X | Physical Therapist | 004281 | CT |
N | 2251N0400X | Physical Therapist - Neurology | 004281 | CT |
N | 2251X0800X | Physical Therapist - Orthopedic | 004281 | CT |
NPI | 1659542900 |
---|---|
Provider Name | Mrs. Usha R. Kanithi |
First Address | Cheshire, CT 06410-2549 |
Second Address | Cheshire, CT 06410-2549 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 14/03/2008 |
Last Update Date | 09/05/2013 |