Provider Demographics
NPI:1124856463
Name:JOBANPUTRA, DEVNI PARIMAL (DPT, PT)
Entity type:Individual
Prefix:
First Name:DEVNI
Middle Name:PARIMAL
Last Name:JOBANPUTRA
Suffix:
Gender:F
Credentials:DPT, PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:227 HAMPTON GREEN DR
Mailing Address - Street 2:
Mailing Address - City:NORTH WALES
Mailing Address - State:PA
Mailing Address - Zip Code:19454-1837
Mailing Address - Country:US
Mailing Address - Phone:267-663-9766
Mailing Address - Fax:
Practice Address - Street 1:1180 WELSH RD STE 150
Practice Address - Street 2:
Practice Address - City:NORTH WALES
Practice Address - State:PA
Practice Address - Zip Code:19454-2061
Practice Address - Country:US
Practice Address - Phone:267-551-3590
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-25
Last Update Date:2024-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEJ1-0014895225100000X
PAPT032655225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist