Basic Information
| Provider Information | |||||||||
| NPI: | 1366875932 | ||||||||
| EntityType: | 1 | ||||||||
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| LastName: | KHARWANWALA | ||||||||
| FirstName: | NATASHA | ||||||||
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| Mailing Information | |||||||||
| Address1: | 3075 CORNISH ROAD | ||||||||
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| City: | MISSISSAUGA | ||||||||
| State: | ONTARIO | ||||||||
| PostalCode: | L5L 4T7 | ||||||||
| CountryCode: | CA | ||||||||
| TelephoneNumber: | 9055692498 | ||||||||
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| Practice Location | |||||||||
| Address1: | 64 DANBURY RD | ||||||||
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| City: | WILTON | ||||||||
| State: | CT | ||||||||
| PostalCode: | 068974429 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8002780332 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 08/18/2013 | ||||||||
| LastUpdateDate: | 08/18/2013 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 225100000X | 14295 | NC | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist | 225100000X | 62 035720 | NY | N | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist | 225100000X | 40090 | CA | N | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist |
No ID Information.