Provider Demographics
NPI:1588313548
Name:VACHASPATI, NEENA
Entity type:Individual
Prefix:
First Name:NEENA
Middle Name:
Last Name:VACHASPATI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:BELMONT VILLAGE SENIOR LIVING
Mailing Address - Street 2:6605 N. QUALL HOLLOW ROAD
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38120
Mailing Address - Country:US
Mailing Address - Phone:901-617-7501
Mailing Address - Fax:
Practice Address - Street 1:BELMONT VILLAGE SENIOR LIVING
Practice Address - Street 2:6605 N. QUALL HOLLOW ROAD
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38120
Practice Address - Country:US
Practice Address - Phone:901-617-7501
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-03-18
Last Update Date:2022-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN002954225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist