Provider Demographics
NPI:1447463815
Name:POHWANI, ABHA A (PT)
Entity type:Individual
Prefix:MRS
First Name:ABHA
Middle Name:A
Last Name:POHWANI
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:4660 SPYRES WAY
Mailing Address - Street 2:
Mailing Address - City:MODESTO
Mailing Address - State:CA
Mailing Address - Zip Code:95356-9804
Mailing Address - Country:US
Mailing Address - Phone:209-578-3290
Mailing Address - Fax:209-529-8643
Practice Address - Street 1:4660 SPYRES WAY
Practice Address - Street 2:
Practice Address - City:MODESTO
Practice Address - State:CA
Practice Address - Zip Code:95356-9804
Practice Address - Country:US
Practice Address - Phone:209-578-3290
Practice Address - Fax:209-529-8643
Is Sole Proprietor?:No
Enumeration Date:2007-05-08
Last Update Date:2018-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA29454225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA29454OtherLICENSE NUMBER