Provider Demographics
NPI:1750743142
Name:MIRCHANDANI, SHEETAL (DPT)
Entity type:Individual
Prefix:DR
First Name:SHEETAL
Middle Name:
Last Name:MIRCHANDANI
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 1:255 NORTH RD
Mailing Address - Street 2:
Mailing Address - City:CHELMSFORD
Mailing Address - State:MA
Mailing Address - Zip Code:01824-1411
Mailing Address - Country:US
Mailing Address - Phone:978-244-1121
Mailing Address - Fax:
Practice Address - Street 1:31 W GROVE ST
Practice Address - Street 2:
Practice Address - City:MIDDLEBORO
Practice Address - State:MA
Practice Address - Zip Code:02346-1859
Practice Address - Country:US
Practice Address - Phone:774-773-9070
Practice Address - Fax:508-591-7619
Is Sole Proprietor?:No
Enumeration Date:2016-03-24
Last Update Date:2016-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA22160225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist