Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225X00000X | Occupational Therapist | OT 510 | CA |
Y | 225XG0600X | Occupational Therapist - Gerontology | OT 510 | CA |
N | 225XN1300X | Occupational Therapist - Neurorehabilitation | OT 510 | CA |
N | 225XP0019X | Occupational Therapist - Physical Rehabilitation | OT 510 | CA |
NPI | 1912224569 |
---|---|
Provider Name | Sanjeeta Mackrani |
First Address | Milpitas, CA 95035-8760 |
Second Address | Milpitas, CA 95035-8760 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/04/2010 |
Last Update Date | 22/04/2010 |