Provider Demographics
NPI:1366750903
Name:KOHLI, DAMANPREET (PT)
Entity type:Individual
Prefix:MS
First Name:DAMANPREET
Middle Name:
Last Name:KOHLI
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 1:14 BEACON HILL DR
Mailing Address - Street 2:
Mailing Address - City:CHESTER
Mailing Address - State:NJ
Mailing Address - Zip Code:07930-3000
Mailing Address - Country:US
Mailing Address - Phone:908-938-6788
Mailing Address - Fax:
Practice Address - Street 1:14 BEACON HILL DR
Practice Address - Street 2:
Practice Address - City:CHESTER
Practice Address - State:NJ
Practice Address - Zip Code:07930-3000
Practice Address - Country:US
Practice Address - Phone:908-938-6788
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-16
Last Update Date:2024-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY031376-1225100000X
NJ40QA01807900225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist