Provider Demographics
NPI:1902145493
Name:JOYAPPA, NIMRA
Entity Type:Individual
Prefix:
First Name:NIMRA
Middle Name:
Last Name:JOYAPPA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12321 WATERSTONE LN
Mailing Address - Street 2:206
Mailing Address - City:PERRYSBURG
Mailing Address - State:OH
Mailing Address - Zip Code:43551-3018
Mailing Address - Country:US
Mailing Address - Phone:412-614-0340
Mailing Address - Fax:
Practice Address - Street 1:12321 WATERSTONE LN
Practice Address - Street 2:206
Practice Address - City:PERRYSBURG
Practice Address - State:OH
Practice Address - Zip Code:43551-3018
Practice Address - Country:US
Practice Address - Phone:412-614-0340
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-02-04
Last Update Date:2013-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPT.013034225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist