Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XP0200X | Occupational Therapist - Pediatrics | 20511 | CA |
NPI | 1023650561 |
---|---|
Provider Name | Apoorva Deshpande |
First Address | Murrieta, CA 92562-9416 |
Second Address | Murrieta, CA 92562-9416 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/10/2019 |
Last Update Date | 16/10/2019 |