Doctor Name: | MRS. NIKETA BODALIA |
NPI Number: | 1780775148 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MPT |
License Number: | 008191 |
Business Practice Address: | 18601 E Silverhill Ave Robertsdale, AL - 36567 |
Business Phone Number: | 2519477911 |
Business Fax Number: | 2519472697 |
Mailing Address: | 18601 E Silverhill Ave, ROBERTSDALE |
State: | AL |
Postal Code: | 36567 |
Phone Number: | 2519477911 |
Fax Number: | 2519472697 |
NPI Enumeration Date: | 09/28/2006 |
NPI Last Update Date: | 08/27/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 008191 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | GA |
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 |