Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225X00000X | Occupational Therapist | 10048 | CA |
N | 225XE0001X | Environmental Modification | 10048 | CA |
N | 2251E1200X | Ergonomics | 10048 | CA |
N | 225XE1200X | Ergonomics | 10048 | CA |
N | 225XF0002X | Feeding, Eating & Swallowing | 10048 | CA |
N | 225XH1200X | Occupational Therapist - Hand | 10048 | CA |
N | 2251H1300X | Human Factors | 10048 | CA |
N | 225XH1300X | Human Factors | 10048 | CA |
N | 225XL0004X | Low Vision | 10048 | CA |
N | 225XM0800X | Mental Health | 10048 | CA |
N | 225XN1300X | Occupational Therapist - Neurorehabilitation | 10048 | CA |
N | 225XP0019X | Occupational Therapist - Physical Rehabilitation | 10048 | CA |
N | 225XP0200X | Occupational Therapist - Pediatrics | 10048 | CA |
NPI | 1760715460 |
---|---|
Provider Name | Mrs. Deepali Jignesh Mehta |
First Address | Cerritos, CA 90703-1060 |
Second Address | Cerritos, CA 90703-1060 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 12/09/2009 |
Last Update Date | 13/06/2012 |