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Individual

PRADIPTA KUMAR SAHU

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MS, OTR, CHT

Contact information

Practice address
3650 SOUTH ST STE 204, LAKEWOOD, CA 90712-1521
(562) 444-0100
(855) 608-0788
Mailing address
3650 SOUTH ST STE 204, LAKEWOOD, CA 90712-1521
(562) 444-0100
(855) 608-0788

Taxonomy

Speciality
Code
Description
License number
State
225XH1200X
Hand Occupational Therapist
0119007291
VA
225XH1200X
Hand Occupational Therapist
110584
TX
225XH1200X
Hand Occupational Therapist
Primary
19391
CA

Other

Enumeration date
10/23/2008
Last updated
10/06/2020
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