Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225100000X | Physical Therapist | 1082428 | TX |
N | 2251C2600X | Cardiopulmonary | 1082428 | TX |
NPI | 1629500202 |
---|---|
Provider Name | Rohini Krishnan Chandrashekar |
First Address | Spring, TX 77389-4242 |
Second Address | Spring, TX 77389-4242 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 01/04/2017 |
Last Update Date | 01/04/2017 |