Provider Demographics
NPI:1295271807
Name:GIANCHANDANI, SACHIN (DPT, MPT, PT)
Entity type:Individual
Prefix:
First Name:SACHIN
Middle Name:
Last Name:GIANCHANDANI
Suffix:
Gender:M
Credentials:DPT, MPT, PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:251 TURN OF RIVER RD
Mailing Address - Street 2:
Mailing Address - City:STAMFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06905-1320
Mailing Address - Country:US
Mailing Address - Phone:475-619-3027
Mailing Address - Fax:
Practice Address - Street 1:251 TURN OF RIVER RD
Practice Address - Street 2:
Practice Address - City:STAMFORD
Practice Address - State:CT
Practice Address - Zip Code:06905-1320
Practice Address - Country:US
Practice Address - Phone:475-619-3027
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-01-07
Last Update Date:2022-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT9208225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist