Provider Demographics
NPI:1063710358
Name:CHADHA, JYOTI (OT/MBA/MHA)
Entity type:Individual
Prefix:MRS
First Name:JYOTI
Middle Name:
Last Name:CHADHA
Suffix:
Gender:F
Credentials:OT/MBA/MHA
Other - Prefix:
Other - First Name:JYOTI
Other - Middle Name:
Other - Last Name:BHATIA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OT/MBA/MHA
Mailing Address - Street 1:4621 WILLOW ST
Mailing Address - Street 2:
Mailing Address - City:BELLAIRE
Mailing Address - State:TX
Mailing Address - Zip Code:77401-4212
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:4621 WILLOW ST
Practice Address - Street 2:
Practice Address - City:BELLAIRE
Practice Address - State:TX
Practice Address - Zip Code:77401-4212
Practice Address - Country:US
Practice Address - Phone:832-335-0021
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-10
Last Update Date:2011-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX106304225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist