Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XH1200X | Occupational Therapist - Hand | OT7058 | CA |
NPI | 1154532737 |
---|---|
Provider Name | Archana Chaturvedi |
First Address | Fullerton, CA 92834-6755 |
Second Address | Victorville, CA 92395-8316 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 24/05/2007 |
Last Update Date | 15/07/2020 |