Provider Demographics
NPI:1285887117
Name:BALAGANI, RATNA BINDU (PT)
Entity type:Individual
Prefix:MRS
First Name:RATNA
Middle Name:BINDU
Last Name:BALAGANI
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:RATNA
Other - Middle Name:BINDU
Other - Last Name:VEERANKI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:66 ASPEN AVE
Mailing Address - Street 2:
Mailing Address - City:SOUTH GRAFTON
Mailing Address - State:MA
Mailing Address - Zip Code:01560-1376
Mailing Address - Country:US
Mailing Address - Phone:508-853-0509
Mailing Address - Fax:
Practice Address - Street 1:70 GILL AVE
Practice Address - Street 2:
Practice Address - City:PAWTUCKET
Practice Address - State:RI
Practice Address - Zip Code:02861-4315
Practice Address - Country:US
Practice Address - Phone:401-722-7900
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-22
Last Update Date:2008-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIPT02005225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist