Provider Demographics
NPI:1902985302
Name:VERMA, RENU (PT)
Entity Type:Individual
Prefix:MRS
First Name:RENU
Middle Name:
Last Name:VERMA
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 1:646 N FRENCH RD
Mailing Address - Street 2:SUITE 5
Mailing Address - City:AMHERST
Mailing Address - State:NY
Mailing Address - Zip Code:14228-2100
Mailing Address - Country:US
Mailing Address - Phone:716-564-0922
Mailing Address - Fax:716-564-0921
Practice Address - Street 1:646 N FRENCH RD
Practice Address - Street 2:SUITE 5
Practice Address - City:AMHERST
Practice Address - State:NY
Practice Address - Zip Code:14228-2100
Practice Address - Country:US
Practice Address - Phone:716-564-0922
Practice Address - Fax:716-564-0921
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY020375-1225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist