Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251G0304X | Physical Therapist - Geriatrics | 36701 | CA |
NPI | 1205969920 |
---|---|
Provider Name | Tejpreet Kaur Ahuja |
First Address | Los Gatos, CA 95032-2402 |
Second Address | Los Gatos, CA 95032-2402 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 13/03/2007 |
Last Update Date | 03/03/2021 |