Individual
SHITAL PATHAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOT, OTR-L, RAC-CT
Contact information
Practice address
774 S PLACENTIA AVE #200,, LOS ANGELES, CA 90048-9004
(323) 877-6659
Mailing address
152 S HAYWORTH AVE APT 9, LOS ANGELES, CA 90048-3616
(323) 877-6659
Taxonomy
Speciality
Code
Description
License number
State
225XE1200X
Ergonomics Occupational Therapist
—
—
225XG0600X
Gerontology Occupational Therapist
Primary
—
—
225XH1200X
Hand Occupational Therapist
—
—
225XN1300X
Neurorehabilitation Occupational Therapist
—
—
Other
Enumeration date
12/02/2022
Last updated
12/02/2022
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