Provider Demographics
NPI:1902514797
Name:PRANA PHYSICAL THERAPY & WELLNESS
Entity Type:Organization
Organization Name:PRANA PHYSICAL THERAPY & WELLNESS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:APARNA
Authorized Official - Middle Name:VINAY
Authorized Official - Last Name:KAMULKAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:650-773-6648
Mailing Address - Street 1:6 STACEY ST
Mailing Address - Street 2:
Mailing Address - City:EDISON
Mailing Address - State:NJ
Mailing Address - Zip Code:08820-1833
Mailing Address - Country:US
Mailing Address - Phone:650-773-6648
Mailing Address - Fax:
Practice Address - Street 1:6 STACEY ST
Practice Address - Street 2:
Practice Address - City:EDISON
Practice Address - State:NJ
Practice Address - Zip Code:08820-1833
Practice Address - Country:US
Practice Address - Phone:650-773-6648
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-11-09
Last Update Date:2022-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy