Provider Demographics
NPI:1629500202
Name:CHANDRASHEKAR, ROHINI KRISHNAN (PT)
Entity Type:Individual
Prefix:
First Name:ROHINI
Middle Name:KRISHNAN
Last Name:CHANDRASHEKAR
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 1:25918 HAMPTON PINES LN
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77389-4242
Mailing Address - Country:US
Mailing Address - Phone:832-722-5616
Mailing Address - Fax:281-547-8006
Practice Address - Street 1:25918 HAMPTON PINES LN
Practice Address - Street 2:
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77389-4242
Practice Address - Country:US
Practice Address - Phone:832-722-5616
Practice Address - Fax:281-547-8006
Is Sole Proprietor?:Yes
Enumeration Date:2017-04-01
Last Update Date:2017-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1082428225100000X, 2251C2600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No2251C2600XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistCardiopulmonary