Provider Demographics
NPI:1760262208
Name:CHOUDHARI, KAVITA PATIL
Entity Type:Individual
Prefix:
First Name:KAVITA
Middle Name:PATIL
Last Name:CHOUDHARI
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 1:1464 W CRANE DR
Mailing Address - Street 2:
Mailing Address - City:CHANDLER
Mailing Address - State:AZ
Mailing Address - Zip Code:85286-8103
Mailing Address - Country:US
Mailing Address - Phone:281-818-5506
Mailing Address - Fax:
Practice Address - Street 1:1464 W CRANE DR
Practice Address - Street 2:
Practice Address - City:CHANDLER
Practice Address - State:AZ
Practice Address - Zip Code:85286-8103
Practice Address - Country:US
Practice Address - Phone:281-818-5506
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-10-03
Last Update Date:2023-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist