Provider Demographics
NPI:1073611125
Name:CHHATWAL, PREETI LUTHRA II (RPT)
Entity Type:Individual
Prefix:
First Name:PREETI
Middle Name:LUTHRA
Last Name:CHHATWAL
Suffix:II
Gender:F
Credentials:RPT
Other - Prefix:
Other - First Name:PREETI
Other - Middle Name:
Other - Last Name:LUTHRA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4 SPRINGLEAF CT
Mailing Address - Street 2:
Mailing Address - City:SIMPSONVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29681-3512
Mailing Address - Country:US
Mailing Address - Phone:864-228-3569
Mailing Address - Fax:
Practice Address - Street 1:304 JACOBS HWY
Practice Address - Street 2:
Practice Address - City:CLINTON
Practice Address - State:SC
Practice Address - Zip Code:29325-7279
Practice Address - Country:US
Practice Address - Phone:864-833-2550
Practice Address - Fax:864-938-9240
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC5321225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist