Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208100000X | Physical Medicine & Rehabilitation Doctor | 293817 | CA |
NPI | 1023528627 |
---|---|
Provider Name | Reshmi Rajan |
First Address | Morgan Hill, CA 95037-9239 |
Second Address | Campbell, CA 95008-0234 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/10/2017 |
Last Update Date | 09/10/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
293817 | PHYSICAL THERAPIST LICENSE (01) | CA |