Disha Modi, DPT | |
2596 Woodside Ridge Dr, Apopka, FL 32712-6481 | |
(609) 529-8733 | |
Not Available |
Full Name | Disha Modi |
---|---|
Gender | Female |
Speciality | Physical Therapist |
Location | 2596 Woodside Ridge Dr, Apopka, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1861255929 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 2305216239 (Virginia) | Primary |
Provider Name | Tidewater Physical Therapy Llc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1457389595 PECOS PAC ID: 6406759281 Enrollment ID: O20041019001029 |
Mailing Address | Practice Location Address |
---|---|
Disha Modi, DPT 2596 Woodside Ridge Dr, Apopka, FL 32712-6481 Ph: (609) 529-8733 | Disha Modi, DPT 2596 Woodside Ridge Dr, Apopka, FL 32712-6481 Ph: (609) 529-8733 |
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