Provider Demographics
NPI:1720309180
Name:CHAUHAN, AMY MEHTA (PT, MS)
Entity Type:Individual
Prefix:MRS
First Name:AMY
Middle Name:MEHTA
Last Name:CHAUHAN
Suffix:
Gender:F
Credentials:PT, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3291 BUCKHEAD FOREST MEWS NE
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30305-1746
Mailing Address - Country:US
Mailing Address - Phone:404-841-8780
Mailing Address - Fax:
Practice Address - Street 1:3291 BUCKHEAD FOREST MEWS NE
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30305-1746
Practice Address - Country:US
Practice Address - Phone:404-841-8780
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-06-18
Last Update Date:2010-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAPT008319225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist