Provider Demographics
NPI:1740423979
Name:CHAUDHARY, SWAPNALI YOGESH (PT)
Entity Type:Individual
Prefix:
First Name:SWAPNALI
Middle Name:YOGESH
Last Name:CHAUDHARY
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:SWAPNALI
Other - Middle Name:ARVIND
Other - Last Name:PATIL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:13740 RESEARCH BLVD STE C3
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78750-1859
Mailing Address - Country:US
Mailing Address - Phone:512-200-3945
Mailing Address - Fax:
Practice Address - Street 1:13740 RESEARCH BLVD STE C3
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78750-1859
Practice Address - Country:US
Practice Address - Phone:512-200-3942
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-04-17
Last Update Date:2020-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX225100000X
TX1177709225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist