Individual
NISHA DESAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.T.
Contact information
Practice address
501 S AUSTIN AVE, SUITE 1310, GEORGETOWN, TX 78626-5637
(512) 864-6054
(512) 869-8157
Mailing address
501 S AUSTIN AVE, SUITE 1310, GEORGETOWN, TX 78626-5637
(512) 864-6054
(512) 869-8157
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
111440
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
111440
TX OCCUPATIONAL THERAPY BOARD
TX
Enumeration date
03/23/2010
Last updated
03/23/2010
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