Provider Demographics
NPI:1487810560
Name:PURI, AMRITA SUKHBIR (PT)
Entity type:Individual
Prefix:MISS
First Name:AMRITA
Middle Name:SUKHBIR
Last Name:PURI
Suffix:
Gender:F
Credentials:PT
Other - Prefix:MISS
Other - First Name:AMRITA
Other - Middle Name:
Other - Last Name:PURI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PT
Mailing Address - Street 1:377 WESTRIDGE BLVD
Mailing Address - Street 2:
Mailing Address - City:GREENWOOD
Mailing Address - State:IN
Mailing Address - Zip Code:46142-2137
Mailing Address - Country:US
Mailing Address - Phone:317-888-4948
Mailing Address - Fax:317-885-1940
Practice Address - Street 1:377 WESTRIDGE BLVD
Practice Address - Street 2:
Practice Address - City:GREENWOOD
Practice Address - State:IN
Practice Address - Zip Code:46142-2137
Practice Address - Country:US
Practice Address - Phone:317-888-4948
Practice Address - Fax:317-885-1940
Is Sole Proprietor?:No
Enumeration Date:2008-07-29
Last Update Date:2008-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN05009243A225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist