MEDICARE: PRIYA BAKSHI

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
1	225X00000X	Occupational Therapist	OT 15743	FL
2	225X00000X	Occupational Therapist	015349	NY

General Provider Information

NPI Number	:	1497186266
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PRIYA BAKSHI

Provider Business Mailing Address
First Line	:	3145 DIAMOND KNOT CIR
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33607-5824
Country	:	US
Telephone Number	:	727-709-4662
Fax Number	:

Provider Business Practice Location Address
First Line	:	3145 DIAMOND KNOT CIR
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33607-5824
Country	:	US
Telephone Number	:	727-709-4662
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/04/2013
Last Update Date	:	12/04/2013

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Directions to “ PRIYA BAKSHI ” Practice Location

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