Provider Demographics
NPI:1114076874
Name:OJHA, HEIDI ANANDA (PT, DPT)
Entity Type:Individual
Prefix:DR
First Name:HEIDI
Middle Name:ANANDA
Last Name:OJHA
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3330 ST MARYS RD
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:CA
Mailing Address - Zip Code:94549-5149
Mailing Address - Country:US
Mailing Address - Phone:650-804-0350
Mailing Address - Fax:
Practice Address - Street 1:3330 ST MARYS RD
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:CA
Practice Address - Zip Code:94549-5149
Practice Address - Country:US
Practice Address - Phone:650-804-0350
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-10
Last Update Date:2020-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA270962251X0800X
2251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic