Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XN1300X | Occupational Therapist - Neurorehabilitation | OT 1871 | CA |
NPI | 1396961678 |
---|---|
Provider Name | Neerja Gupta |
First Address | Los Angeles, CA 90077-2320 |
Second Address | Woodland Hills, CA 91367-6701 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/04/2007 |
Last Update Date | 06/12/2021 |