Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XN1300X | Occupational Therapist - Neurorehabilitation | 11195 | CA |
NPI | 1588976716 |
---|---|
Provider Name | Mrs. Gurjeet Kaur Sandhu |
First Address | Vallejo, CA 94591-6300 |
Second Address | Vallejo, CA 94589-2441 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 02/07/2010 |
Last Update Date | 11/02/2022 |