Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225X00000X | Occupational Therapist | 016725-1 | NY |
NPI | 1003191073 |
---|---|
Provider Name | Jalpa Dhaduk |
First Address | Bloomfield, NJ 07003 |
Second Address | Bloomfield, NJ 07003 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 20/10/2011 |
Last Update Date | 20/10/2011 |