Provider Demographics
NPI:1801930938
Name:BHATT, RUCHA DUSHYANT (OT)
Entity type:Individual
Prefix:
First Name:RUCHA
Middle Name:DUSHYANT
Last Name:BHATT
Suffix:
Gender:F
Credentials:OT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4035 YELLOWFIELD WAY
Mailing Address - Street 2:
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27518-7189
Mailing Address - Country:US
Mailing Address - Phone:919-928-4309
Mailing Address - Fax:
Practice Address - Street 1:1101 HARTWELL ST
Practice Address - Street 2:
Practice Address - City:GARNER
Practice Address - State:NC
Practice Address - Zip Code:27529-3675
Practice Address - Country:US
Practice Address - Phone:919-772-8888
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-20
Last Update Date:2012-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC6252225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist