Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225X00000X | Occupational Therapist | OT18763 | CA |
N | 225XH1200X | Occupational Therapist - Hand | OT18763 | CA |
NPI | 1083109094 |
---|---|
Provider Name | Trisha Patil |
First Address | Cupertino, CA 95014-6025 |
Second Address | Palo Alto, CA 94301-2608 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/06/2018 |
Last Update Date | 12/07/2021 |