Individual
NAYAN TARA MIRCHANDANI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS OTR
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31000117A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100314180A
—
IN
05
—
200429410A
—
IN
01
—
200602000
RENDERING FS
IN
01
—
200701710A
FIRST STEPS
IN
Enumeration date
09/15/2006
Last updated
06/20/2014
Update your record
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