Provider Demographics
NPI:1922400860
Name:CHAND, SONAL (DPT)
Entity Type:Individual
Prefix:MS
First Name:SONAL
Middle Name:
Last Name:CHAND
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20 OAK RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:NEWTOWN
Mailing Address - State:CT
Mailing Address - Zip Code:06470-2457
Mailing Address - Country:US
Mailing Address - Phone:203-501-0104
Mailing Address - Fax:
Practice Address - Street 1:33 LINCOLN AVE
Practice Address - Street 2:
Practice Address - City:DANBURY
Practice Address - State:CT
Practice Address - Zip Code:06810-7963
Practice Address - Country:US
Practice Address - Phone:203-702-2747
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-09-23
Last Update Date:2014-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT008403225100000X
WI10331-24225100000X
IA03405225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist