Individual
KHURSHID DASTUR-ESCALANTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
25706 HOOD WAY, STEVENSON RANCH, CA 91381-1403
(818) 402-2132
Mailing address
25706 HOOD WAY, STEVENSON RANCH, CA 91381-1403
(818) 402-2132
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT2305
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OT2305
OCCUPATIONAL THERAPIST
CA
Enumeration date
08/13/2006
Last updated
07/08/2007
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