Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225100000X | Physical Therapist | PT39087 | CA |
NPI | 1003161290 |
---|---|
Provider Name | Miss Alisha K Lodhia |
First Address | Cupertino, CA 95014-2108 |
Second Address | Cupertino, CA 95014-2108 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/07/2012 |
Last Update Date | 26/02/2015 |