| Doctor Name: | MS. NAMRATA NIMESH DIKSHIT |
| NPI Number: | 1366577371 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MAPT |
| License Number: | 40QA0006295 |
| Business Practice Address: | 1030 Saint Georges Ave Ste Ll3 Avenel, NJ - 070011330 |
| Business Phone Number: | 7324041040 |
| Business Fax Number: | 7324041041 |
| Mailing Address: | 1030 Saint Georges Ave Ste Ll3, AVENEL |
| State: | NJ |
| Postal Code: | 070011330 |
| Phone Number: | 7324041040 |
| Fax Number: | 7324041041 |
| NPI Enumeration Date: | 02/22/2007 |
| NPI Last Update Date: | 01/13/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2251H1300X |
| License Number: | 40QA0006295 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | Human Factors |
| Taxonomy Definition: | |