Provider Demographics
NPI:1215324231
Name:RAJANI, KEYURI (PT)
Entity type:Individual
Prefix:MS
First Name:KEYURI
Middle Name:
Last Name:RAJANI
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 1:14512 EDGEWOODS WAY
Mailing Address - Street 2:
Mailing Address - City:GLENELG
Mailing Address - State:MD
Mailing Address - Zip Code:21737-9608
Mailing Address - Country:US
Mailing Address - Phone:410-998-9786
Mailing Address - Fax:
Practice Address - Street 1:14512 EDGEWOODS WAY
Practice Address - Street 2:
Practice Address - City:GLENELG
Practice Address - State:MD
Practice Address - Zip Code:21737-9608
Practice Address - Country:US
Practice Address - Phone:410-998-9786
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-04-16
Last Update Date:2015-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD19625225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist