Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225X00000X | Occupational Therapist | ||
Y | 225XF0002X | Feeding, Eating & Swallowing | ||
N | 225XP0200X | Occupational Therapist - Pediatrics |
NPI | 1922335033 |
---|---|
Provider Name | Mrs. Nimisha Rajesh Pradhan |
First Address | Whittier, CA 90606 |
Second Address | Whittier, CA 90606 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/11/2009 |
Last Update Date | 10/11/2009 |