Basic Information
| Provider Information | |||||||||
| NPI: | 1285723841 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | JOSHI | ||||||||
| FirstName: | HINA | ||||||||
| MiddleName: | B | ||||||||
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| Credential: | D.P.T. | ||||||||
| OtherOrganizationName: | |||||||||
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| OtherLastName: | MODHA | ||||||||
| OtherFirstName: | HINA | ||||||||
| OtherMiddleName: | K | ||||||||
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| OtherCredential: | D.P.T | ||||||||
| OtherLastNameType: | 1 | ||||||||
| Mailing Information | |||||||||
| Address1: | 13946 BALTIMORE AVE | ||||||||
| Address2: | |||||||||
| City: | LAUREL | ||||||||
| State: | MD | ||||||||
| PostalCode: | 207075000 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3014982212 | ||||||||
| FaxNumber: | 3014982212 | ||||||||
| Practice Location | |||||||||
| Address1: | 10700 CHARTER DR | ||||||||
| Address2: | SUITE 100A | ||||||||
| City: | COLUMBIA | ||||||||
| State: | MD | ||||||||
| PostalCode: | 210443629 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4109102351 | ||||||||
| FaxNumber: | 4109102353 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/12/2006 | ||||||||
| LastUpdateDate: | 06/02/2021 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| AuthorizedOfficialCredential: | |||||||||
| NPICertificationDate: | 06/02/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 2251X0800X | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist | Orthopedic |
No ID Information.