Individual
RIVA NANDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1360 S ANAHEIM BLVD, ANAHEIM, CA 92805-6205
(714) 542-1234
Mailing address
1360 S ANAHEIM BLVD, ANAHEIM, CA 92805-6205
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OT23142
CA
Other
Enumeration date
06/27/2023
Last updated
01/12/2024
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