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NPI Code Detail

MEDICARE: MINAL DHANAK OTR

MEDICARE:   MINAL  DHANAK  OTR
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225X00000XOccupational TherapistOT 9058CA

General Provider Information

NPI Number : 1760504146
Entity Type Code : Individual
Provider Name (Legal Business Name) : MINAL DHANAK OTR
Provider Business Mailing Address
First Line : 6340 VARIEL AVE
Second Line : SUITE A
City : WOODLAND HILLS
State : CA
Zip : 91367-2514
Country : US
Telephone Number : 818-888-4559
Fax Number :
Provider Business Practice Location Address
First Line : 6340 VARIEL AVE
Second Line : SUITE A
City : WOODLAND HILLS
State : CA
Zip : 91367-2514
Country : US
Telephone Number : 818-888-4559
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/04/2007
Last Update Date : 04/28/2010

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Directions to “ MINAL DHANAK OTR” Practice Location

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