Provider Demographics
NPI:1306078621
Name:CHHABRIYA, RITU KUNAL (PT)
Entity type:Individual
Prefix:
First Name:RITU
Middle Name:KUNAL
Last Name:CHHABRIYA
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:GUNJAN
Other - Middle Name:ASHOK
Other - Last Name:JETHANI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:246 SOBRANTE WAY
Mailing Address - Street 2:
Mailing Address - City:SUNNYVALE
Mailing Address - State:CA
Mailing Address - Zip Code:94086-4807
Mailing Address - Country:US
Mailing Address - Phone:408-733-3670
Mailing Address - Fax:408-245-7968
Practice Address - Street 1:246 SOBRANTE WAY
Practice Address - Street 2:
Practice Address - City:SUNNYVALE
Practice Address - State:CA
Practice Address - Zip Code:94086-4807
Practice Address - Country:US
Practice Address - Phone:408-733-3670
Practice Address - Fax:408-245-7968
Is Sole Proprietor?:No
Enumeration Date:2009-08-20
Last Update Date:2014-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPT 35881225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CACF652ZMedicare PIN