Provider Demographics
NPI:1518204189
Name:SEHGAL, DIVYA (MPT)
Entity Type:Individual
Prefix:
First Name:DIVYA
Middle Name:
Last Name:SEHGAL
Suffix:
Gender:F
Credentials:MPT
Other - Prefix:
Other - First Name:DIVYA
Other - Middle Name:
Other - Last Name:CHARAYA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:10460 QUEENS BLVD APT 9U
Mailing Address - Street 2:
Mailing Address - City:FOREST HILLS
Mailing Address - State:NY
Mailing Address - Zip Code:11375-7347
Mailing Address - Country:US
Mailing Address - Phone:617-475-5064
Mailing Address - Fax:
Practice Address - Street 1:202 FOSTER AVE STE B
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11230-2130
Practice Address - Country:US
Practice Address - Phone:718-853-1750
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-01-15
Last Update Date:2013-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY031337-12251P0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatrics