Provider Demographics
NPI:1235243197
Name:KACHROO, NEHA (PT)
Entity Type:Individual
Prefix:MISS
First Name:NEHA
Middle Name:
Last Name:KACHROO
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 1:2750 JOHNSON AVE
Mailing Address - Street 2:APT 8 J
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10463-4915
Mailing Address - Country:US
Mailing Address - Phone:517-316-5830
Mailing Address - Fax:
Practice Address - Street 1:2750 JOHNSON AVE
Practice Address - Street 2:APT 8 J
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10463-4915
Practice Address - Country:US
Practice Address - Phone:517-316-5830
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-18
Last Update Date:2013-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5501012254225100000X
NY033114225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist