Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225X00000X | Occupational Therapist | 8816 | CA |
NPI | 1003297946 |
---|---|
Provider Name | Puneet Dhingra |
First Address | Alameda, CA 94501-4954 |
Second Address | Fremont, CA 94536-5356 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 16/06/2015 |
Last Update Date | 16/06/2015 |