Virender K Gautam
Occupational Therapist - Neurorehabilitation
15 Evonvale Court
Greenville
, South Carolina 29605
Virender K Gautam
Occupational Therapist - Neurorehabilitation
15 Evonvale Court
Greenville
, South Carolina 29605
(509) 431-2795
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About
Features
Specialties
- Occupational Therapist - Neurorehabilitation
Languages spoken
- English
Location
First Address
- Virender K Gautam
- 15 Evonvale Ct
- Greenville, SC
- Zip : 29605-5978
- Phone : (509) 431-2795
Second Address
- Virender K Gautam
- 15 Evonvale Court
- Greenville, SC
- Zip : 29605
- Phone : (509) 431-2795
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Is Virender K Gautam accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225XN1300X | Occupational Therapist - Neurorehabilitation | 3389 | SC |
National Provider Identifier
| NPI | 1205867157 |
|---|---|
| Provider Name | Virender K Gautam |
| First Address | Greenville, SC 29605-5978 |
| Second Address | Greenville, SC 29605 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 06/07/2006 |
| Last Update Date | 30/07/2012 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0192967 | L&I (01) | WA |
| 8414856 | (05) | WA |
| Q32452 | (02) | WA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.