Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XG0600X | Occupational Therapist - Gerontology | U1-0000841 | DE |
NPI | 1023434115 |
---|---|
Provider Name | Preeti Talreja |
First Address | Dover, DE 19904-2368 |
Second Address | Dover, DE 19904-2368 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 12/03/2014 |
Last Update Date | 12/03/2014 |