Provider Demographics
NPI:1508824079
Name:BHATIA, SACCHIN (PT)
Entity Type:Individual
Prefix:
First Name:SACCHIN
Middle Name:
Last Name:BHATIA
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:221 ACACIA LN
Mailing Address - Street 2:
Mailing Address - City:THOUSAND OAKS
Mailing Address - State:CA
Mailing Address - Zip Code:91320-4704
Mailing Address - Country:US
Mailing Address - Phone:951-676-2675
Mailing Address - Fax:951-676-2645
Practice Address - Street 1:2840 E LOS ANGELES AVE
Practice Address - Street 2:
Practice Address - City:SIMI VALLEY
Practice Address - State:CA
Practice Address - Zip Code:93065-3937
Practice Address - Country:US
Practice Address - Phone:805-526-8360
Practice Address - Fax:805-526-1438
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPT29720225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist