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Individual

SUDHAGAR GANGATHARAM

Active
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Individual

SUDHAGAR GANGATHARAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OTR/L

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
17-04467
KS
225XG0600X
Gerontology Occupational Therapist
17-04467
KS
225XH1200X
Hand Occupational Therapist
Primary
17-04467
KS
225XL0004X
Low Vision Occupational Therapist
17-04467
KS
225XP0019X
Physical Rehabilitation Occupational Therapist
17-04467
KS

Other

Enumeration date
07/09/2025
Last updated
07/15/2025
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