National Provider Identifier

Raveendran Thangavel, PT

Raveendran Thangavel, PT is listed in the NPPES registry with a primary specialty of Physical Therapist in Canandaigua, NY and a listed phone number of (585) 393-2909.

NPI 1861510026Canandaigua, NYPhysical Therapist

Profile Overview

NPI
1861510026
Provider Type
Individual
Primary Specialty
Physical Therapist
Enumeration Date
March 27, 2007
Last Updated
July 08, 2007

Practice Location

  • 3062 County Complex Dr
  • Canandaigua, NY 14424-9502

Phone: (585) 393-2909

Mailing Address

  • 5126 Overlook Ln
  • Canandaigua, NY 14424-9109

Specialties

  • Physical Therapist (225100000X)
Full Record
NPI
1861510026
Entity Type
Individual
Last Name
Thangavel
First Name
Raveendran
Name Prefix
Mr.
Credential
PT
Mailing Street Address
5126 Overlook Ln
Mailing City
Canandaigua
Mailing State
NY
Mailing ZIP Code
14424-9109
Mailing Country
US
Mailing Phone
(585) 394-7814
Mailing Fax
(585) 394-7814
Practice Street Address
3062 County Complex Dr
Practice City
Canandaigua
Practice State
NY
Practice ZIP Code
14424-9502
Practice Country
US
Practice Phone
(585) 393-2909
Practice Fax
(585) 396-4414
Enumeration Date
March 27, 2007
Last Updated
July 08, 2007
Sex
Male
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Physical Therapist (225100000X)