Provider Demographics
NPI:1003001983
Name:SADDHRA, RORIE (PT)
Entity type:Individual
Prefix:MRS
First Name:RORIE
Middle Name:
Last Name:SADDHRA
Suffix:
Gender:F
Credentials:PT
Other - Prefix:MISS
Other - First Name:RORIE
Other - Middle Name:FERNANDEZ
Other - Last Name:REYES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:2125 E WASHINGTON AVE STE C
Mailing Address - Street 2:
Mailing Address - City:VINTON
Mailing Address - State:VA
Mailing Address - Zip Code:24179-4601
Mailing Address - Country:US
Mailing Address - Phone:540-647-8331
Mailing Address - Fax:540-491-9737
Practice Address - Street 1:2125 E WASHINGTON AVE STE C
Practice Address - Street 2:
Practice Address - City:VINTON
Practice Address - State:VA
Practice Address - Zip Code:24179-4601
Practice Address - Country:US
Practice Address - Phone:540-647-8331
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-09-13
Last Update Date:2024-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1344653225100000X
VA2305206106225100000X, 225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist