Individual
MRS. SMITA DINESH MISTRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L, CHT
Contact information
Practice address
4341 BIRCH ST, STE 102, NEWPORT BEACH, CA 92660-1924
(949) 475-1002
(949) 475-1003
Mailing address
25 COROMANDE, IRVINE, CA 92614-0245
(949) 331-8090
Taxonomy
Speciality
Code
Description
License number
State
225XH1200X
Hand Occupational Therapist
Primary
OT 594
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
201305036
CHT -CERTIFIED HAND THERAPIST
CA
01
—
OT 594
STATE LICENSE
CA
Enumeration date
07/12/2006
Last updated
12/21/2017
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