| Doctor Name: | PREMAL BHALODIYA |
| NPI Number: | 1134593569 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PT |
| License Number: | 034916 |
| Business Practice Address: | 110 Lake Concord Rd Ne Concord, NC - 280252918 |
| Business Phone Number: | 7047922672 |
| Business Fax Number: | 7047922674 |
| Mailing Address: | 225 Baldwin Ave, CHARLOTTE |
| State: | NC |
| Postal Code: | 282043109 |
| Phone Number: | 7043761605 |
| Fax Number: | 7043358448 |
| NPI Enumeration Date: | 11/23/2015 |
| NPI Last Update Date: | 06/06/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 034916 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NY |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |