Individual
KHUSHBOO GAJJAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
20329 N 59TH AVE STE A2, GLENDALE, AZ 85308-6854
(623) 594-0294
Mailing address
20329 N 59TH AVE STE A2, GLENDALE, AZ 85308-6854
(623) 594-0294
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OTH-007680
AZ
Other
Enumeration date
01/21/2019
Last updated
01/21/2019
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