Healthcare Provider Details

I. General information

NPI: 1003472028
Provider Name (Legal Business Name): HENNA CHHABRA OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: HENNA ARORA

II. Dates (important events)

Enumeration Date: 05/15/2019
Last Update Date: 05/15/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2500 COUNTRY DR
FREMONT CA
94536-5356
US

IV. Provider business mailing address

34273 KENWOOD DR
FREMONT CA
94555-2958
US

V. Phone/Fax

Practice location:
  • Phone: 510-792-4242
  • Fax:
Mailing address:
  • Phone: 510-945-8022
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: