Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225X00000X | Occupational Therapist | 4548 | CA |
N | 225XG0600X | Occupational Therapist - Gerontology | 4548 | CA |
N | 225XH1200X | Occupational Therapist - Hand | 4548 | CA |
N | 225XL0004X | Low Vision | 4548 | CA |
Y | 225XN1300X | Occupational Therapist - Neurorehabilitation | 4548 | CA |
N | 225XP0019X | Occupational Therapist - Physical Rehabilitation | 4548 | CA |
NPI | 1003186727 |
---|---|
Provider Name | Cheryl Gaj |
First Address | Oxnard, CA 93030-8900 |
Second Address | Oxnard, CA 93030-8900 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/01/2012 |
Last Update Date | 11/01/2012 |