Individual
CHAITANYA BATHLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHYSICAL THERAPIST
Contact information
Practice address
7702 34TH AVE APT B44, JACKSON HEIGHTS, NY 11372-2255
(408) 507-6508
(866) 605-5654
Mailing address
7702 34TH AVE APT B44, JACKSON HEIGHTS, NY 11372-2255
(408) 507-6508
(866) 605-5654
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
046871
NY
Other
Enumeration date
08/14/2021
Last updated
08/14/2021
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