Provider Demographics
NPI:1245571132
Name:CHAUDHARY, VANDNA (OTR)
Entity Type:Individual
Prefix:
First Name:VANDNA
Middle Name:
Last Name:CHAUDHARY
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1720 NW MAYNARD RD
Mailing Address - Street 2:
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27513-3185
Mailing Address - Country:US
Mailing Address - Phone:919-344-0180
Mailing Address - Fax:919-851-1900
Practice Address - Street 1:1720 NW MAYNARD RD
Practice Address - Street 2:
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27513-3185
Practice Address - Country:US
Practice Address - Phone:919-344-0180
Practice Address - Fax:919-851-1900
Is Sole Proprietor?:No
Enumeration Date:2013-03-03
Last Update Date:2022-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
2476225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist