Provider Demographics
NPI:1699552786
Name:CHOWDHARY, VANDANA (PT)
Entity type:Individual
Prefix:MRS
First Name:VANDANA
Middle Name:
Last Name:CHOWDHARY
Suffix:
Gender:F
Credentials:PT
Other - Prefix:MRS
Other - First Name:VANDANA
Other - Middle Name:
Other - Last Name:CHOWDHARY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHYSICAL THERAPY
Mailing Address - Street 1:1208 E ARQUES AVE STE 115
Mailing Address - Street 2:
Mailing Address - City:SUNNYVALE
Mailing Address - State:CA
Mailing Address - Zip Code:94085-5419
Mailing Address - Country:US
Mailing Address - Phone:408-505-8266
Mailing Address - Fax:408-720-6900
Practice Address - Street 1:1208 E ARQUES AVE STE 115
Practice Address - Street 2:
Practice Address - City:SUNNYVALE
Practice Address - State:CA
Practice Address - Zip Code:94085-5419
Practice Address - Country:US
Practice Address - Phone:408-505-8266
Practice Address - Fax:408-720-6900
Is Sole Proprietor?:Yes
Enumeration Date:2023-09-12
Last Update Date:2023-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA304833225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist