Individual
PRAVIN XAVIER GNANASEKHAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
140 E WOODBURY DR, DAYTON, OH 45415-2841
(937) 938-1523
(937) 938-6877
Mailing address
865 SAINT SIMONS LN, CENTERVILLE, OH 45458-2876
(937) 304-4244
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT006920
OH
Other
Enumeration date
11/25/2014
Last updated
11/25/2014
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