Healthcare Provider Details

I. General information

NPI: 1740101419
Provider Name (Legal Business Name): GINA PAPA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/21/2026
Last Update Date: 07/21/2026
Certification Date: 07/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

385 ESPLANADE AVE
PACIFICA CA
94044-1882
US

IV. Provider business mailing address

521 LAURELWOOD CT
HOWELL NJ
07731-3407
US

V. Phone/Fax

Practice location:
  • Phone: 650-993-5576
  • Fax:
Mailing address:
  • Phone: 732-947-6496
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number0119011437
License Number StateVA
# 2
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number46TR01054100
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: