Provider Demographics
NPI:1902650005
Name:VORA, DRASHTI KELANKUMAR (PT)
Entity Type:Individual
Prefix:MISS
First Name:DRASHTI
Middle Name:KELANKUMAR
Last Name:VORA
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:56 BEACON WAY APT 301
Mailing Address - Street 2:
Mailing Address - City:JERSEY CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:07304-6164
Mailing Address - Country:US
Mailing Address - Phone:682-331-0975
Mailing Address - Fax:
Practice Address - Street 1:47 W 14TH ST FL 3
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10011-0115
Practice Address - Country:US
Practice Address - Phone:646-930-2040
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-04-15
Last Update Date:2024-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY051988225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist