Provider Demographics
NPI:1174892764
Name:PANWAR, RITURAJ SINGH (PT)
Entity type:Individual
Prefix:
First Name:RITURAJ
Middle Name:SINGH
Last Name:PANWAR
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:37989 PEBBLE LAKE TRL
Mailing Address - Street 2:
Mailing Address - City:NORTH RIDGEVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:44039-5113
Mailing Address - Country:US
Mailing Address - Phone:985-215-3491
Mailing Address - Fax:
Practice Address - Street 1:35755 DETROIT RD
Practice Address - Street 2:
Practice Address - City:AVON
Practice Address - State:OH
Practice Address - Zip Code:44011-1689
Practice Address - Country:US
Practice Address - Phone:985-215-3491
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-12-28
Last Update Date:2022-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist