Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225100000X | Physical Therapist | 05012713A | IN |
N | 2251P0200X | Physical Therapist - Pediatrics | 05012713A | IN |
NPI | 1023580354 |
---|---|
Provider Name | Nikita Meswani |
First Address | Indianapolis, IN 46227-3384 |
Second Address | Franklin, IN 46131-9049 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 27/12/2018 |
Last Update Date | 27/12/2018 |