Provider Demographics
NPI:1629586250
Name:CHHABRA, POOJA
Entity Type:Individual
Prefix:
First Name:POOJA
Middle Name:
Last Name:CHHABRA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17 W BROAD ST
Mailing Address - Street 2:
Mailing Address - City:LANSE
Mailing Address - State:MI
Mailing Address - Zip Code:49946-1015
Mailing Address - Country:US
Mailing Address - Phone:906-524-3445
Mailing Address - Fax:
Practice Address - Street 1:17 W BROAD ST
Practice Address - Street 2:
Practice Address - City:LANSE
Practice Address - State:MI
Practice Address - Zip Code:49946-1015
Practice Address - Country:US
Practice Address - Phone:954-647-4712
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-01-17
Last Update Date:2023-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist