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Individual

SAURABH KOHLI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
2895 SE POWELL VALLEY RD, GRESHAM, OR 97080-1492
(971) 571-5319
Mailing address
3520 ARMFIELD FARM DR, CHANTILLY, VA 20151-3363
(571) 471-6597

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
0119004211
VA
225X00000X
Occupational Therapist
Primary
1018176
OR

Other

Enumeration date
05/02/2007
Last updated
04/25/2024
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