Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XN1300X | Occupational Therapist - Neurorehabilitation |
NPI | 1972193431 |
---|---|
Provider Name | Puja Gohel |
First Address | Emeryville, CA 94608-1832 |
Second Address | Emeryville, CA 94608-1832 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/01/2021 |
Last Update Date | 19/01/2021 |