Healthcare Provider Details

I. General information

NPI: 1376857128
Provider Name (Legal Business Name): RIJUTA A DHERE PT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/04/2010
Last Update Date: 08/11/2025
Certification Date: 08/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3530 LOCHINVAR AVE
SANTA CLARA CA
95051-5108
US

IV. Provider business mailing address

318 WATERLILY CT
SAN RAMON CA
94582-5808
US

V. Phone/Fax

Practice location:
  • Phone: 925-895-6533
  • Fax:
Mailing address:
  • Phone: 925-895-6533
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number32760
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: