Provider Demographics
NPI:1033665021
Name:ACHARYA, RUCHI (PT)
Entity Type:Individual
Prefix:
First Name:RUCHI
Middle Name:
Last Name:ACHARYA
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:SYNAPSE COMPLETE BALANCE AND MOVEMENT THERAPY
Mailing Address - Street 2:3851 KATELLA AVE, SUITE #365
Mailing Address - City:LOS ALAMITOS
Mailing Address - State:CA
Mailing Address - Zip Code:90720
Mailing Address - Country:US
Mailing Address - Phone:562-296-8107
Mailing Address - Fax:562-296-8106
Practice Address - Street 1:740 S. PLACENTIA AVE. SUITE 100
Practice Address - Street 2:
Practice Address - City:PLACENTIA
Practice Address - State:CA
Practice Address - Zip Code:92870
Practice Address - Country:US
Practice Address - Phone:714-646-8318
Practice Address - Fax:714-646-8320
Is Sole Proprietor?:Yes
Enumeration Date:2016-08-30
Last Update Date:2021-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA301146225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist