Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225X00000X | Occupational Therapist | OT13501 | FL |
N | 225XE0001X | Environmental Modification | OT13501 | FL |
N | 2251E1200X | Ergonomics | OT13501 | FL |
N | 225XE1200X | Ergonomics | OT13501 | FL |
N | 225XG0600X | Occupational Therapist - Gerontology | OT13501 | FL |
N | 225XN1300X | Occupational Therapist - Neurorehabilitation | OT13501 | FL |
N | 225XP0019X | Occupational Therapist - Physical Rehabilitation | OT13501 | FL |
NPI | 1689011199 |
---|---|
Provider Name | Mr. Sachin Chogle |
First Address | St Petersburg, FL 33743-0063 |
Second Address | St Petersburg, FL 33743-9503 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 24/05/2013 |
Last Update Date | 24/05/2013 |