Provider Demographics
NPI:1629237953
Name:MEHRA, SWATI (PT)
Entity Type:Individual
Prefix:MRS
First Name:SWATI
Middle Name:
Last Name:MEHRA
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 1:20539 SEVILLA LN
Mailing Address - Street 2:
Mailing Address - City:SARATOGA
Mailing Address - State:CA
Mailing Address - Zip Code:95070-4821
Mailing Address - Country:US
Mailing Address - Phone:408-757-7526
Mailing Address - Fax:
Practice Address - Street 1:19925 STEVENS CREEK BLVD STE 100
Practice Address - Street 2:
Practice Address - City:CUPERTINO
Practice Address - State:CA
Practice Address - Zip Code:95014-2384
Practice Address - Country:US
Practice Address - Phone:408-800-3260
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-02
Last Update Date:2019-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPT29754225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist