Doctor Name: | MRS. POORNIMA KATAKAM |
NPI Number: | 1619178019 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 40QA007065 |
Business Practice Address: | 61 Maplewood Ave Elms Of Cranbury Cranbury, NJ - 08512 |
Business Phone Number: | 6093953445 |
Business Fax Number: | 6096552052 |
Mailing Address: | 59 Zaitz Farm Rd, PRINCETON JCT |
State: | NJ |
Postal Code: | 08550 |
Phone Number: | 6097169823 |
Fax Number: | 6096552052 |
NPI Enumeration Date: | 05/31/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 40QA007065 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
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 |