Provider Demographics
NPI:1346292596
Name:HATTI, VRINDA (MPT, OTR)
Entity Type:Individual
Prefix:
First Name:VRINDA
Middle Name:
Last Name:HATTI
Suffix:
Gender:F
Credentials:MPT, OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1209 WARD AVE
Mailing Address - Street 2:SUITE 102
Mailing Address - City:WEST CHESTER
Mailing Address - State:PA
Mailing Address - Zip Code:19380-4200
Mailing Address - Country:US
Mailing Address - Phone:610-344-7374
Mailing Address - Fax:610-344-7530
Practice Address - Street 1:1209 WARD AVE
Practice Address - Street 2:SUITE 102
Practice Address - City:WEST CHESTER
Practice Address - State:PA
Practice Address - Zip Code:19380-4200
Practice Address - Country:US
Practice Address - Phone:610-344-7374
Practice Address - Fax:610-344-7530
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT007923L2251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAHA334488OtherHIGH MARK BLUE SHIELD
PAHA334488OtherINDEPENDENCE BLUE CROSS
PA0007612065OtherAETNA PPO
PAHA334488OtherINDEPENDENCE BLUE CROSS