MEDICARE: VRINDA HATTI MPT, OTR

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2251X0800X	Orthopedic Physical Therapist	PT007923L	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	HA334488	OTHER	PA	HIGH MARK BLUE SHIELD
2	HA334488	OTHER	PA	INDEPENDENCE BLUE CROSS
3	0007612065	OTHER	PA	AETNA PPO

General Provider Information

NPI Number	:	1346292596
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VRINDA HATTI MPT, OTR

Provider Business Mailing Address
First Line	:	1209 WARD AVE
Second Line	:	SUITE 102
City	:	WEST CHESTER
State	:	PA
Zip	:	19380-4200
Country	:	US
Telephone Number	:	610-344-7374
Fax Number	:	610-344-7530

Provider Business Practice Location Address
First Line	:	1209 WARD AVE
Second Line	:	SUITE 102
City	:	WEST CHESTER
State	:	PA
Zip	:	19380-4200
Country	:	US
Telephone Number	:	610-344-7374
Fax Number	:	610-344-7530

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/16/2006
Last Update Date	:	07/08/2007

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Directions to “ VRINDA HATTI MPT, OTR” Practice Location

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