Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251G0304X | Physical Therapist - Geriatrics | PT025096 | PA |
NPI | 1144683111 |
---|---|
Provider Name | Rachana Sachdeva |
First Address | Ambler, PA 19002-4019 |
Second Address | Jenkintown, PA 19046-2853 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/03/2016 |
Last Update Date | 29/03/2016 |