Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225X00000X | Occupational Therapist | 9678 | CA |
N | 225XN1300X | Occupational Therapist - Neurorehabilitation | 9678 | CA |
N | 225XP0019X | Occupational Therapist - Physical Rehabilitation | 9678 | CA |
NPI | 1558908806 |
---|---|
Provider Name | Jyoti Dhumale Digwalekar |
First Address | San Diego, CA 92131-4715 |
Second Address | San Diego, CA 92131-4715 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 05/12/2019 |
Last Update Date | 05/12/2019 |