Basic Information
Provider Information
NPI: 1679858526
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: PIKAART
FirstName: MARGARET
MiddleName: V
NamePrefix:  
NameSuffix:  
Credential: P.T., C.H.T.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 46 PRINCE ST STE 402B
Address2:  
City: NEW HAVEN
State: CT
PostalCode: 065191600
CountryCode: US
TelephoneNumber: 2037527878
FaxNumber: 2037764989
Practice Location
Address1: 46 PRINCE ST STE 402B
Address2:  
City: NEW HAVEN
State: CT
PostalCode: 065191600
CountryCode: US
TelephoneNumber: 2037527878
FaxNumber: 2037764989
Other Information
ProviderEnumerationDate: 10/11/2011
LastUpdateDate: 10/11/2011
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
225100000X002204CTY Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist 
2251H1200X  N Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistHand

No ID Information.


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