Provider Demographics
NPI:1801173869
Name:ROHIT, POOJA (PT)
Entity type:Individual
Prefix:
First Name:POOJA
Middle Name:
Last Name:ROHIT
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:POOJA
Other - Middle Name:
Other - Last Name:SEKHAR
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PT
Mailing Address - Street 1:115 HAUT BRION AVE
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:DE
Mailing Address - Zip Code:19702-4535
Mailing Address - Country:US
Mailing Address - Phone:614-266-8773
Mailing Address - Fax:
Practice Address - Street 1:4949 OGLETOWN STANTON RD
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:DE
Practice Address - Zip Code:19713
Practice Address - Country:US
Practice Address - Phone:302-409-3244
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-04
Last Update Date:2019-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEJ1-0003271225100000X
OH013132225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHPT013132OtherPHYSICAL THERAPIST