Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XP0200X | Occupational Therapist - Pediatrics | 3231 | CA |
NPI | 1003865916 |
---|---|
Provider Name | Neena Eileen Bakshi |
First Address | El Cajon, CA 92020-2225 |
Second Address | San Diego, CA 92123-1792 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/05/2006 |
Last Update Date | 20/06/2011 |