Individual
PAYAL BHAKTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1301 W ARROW HWY # 130, SAN DIMAS, CA 91773-2330
(909) 222-2745
Mailing address
1301 W ARROW HWY # 130, SAN DIMAS, CA 91773-2330
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OT16806
CA
225XP0200X
Pediatric Occupational Therapist
—
—
Other
Enumeration date
12/30/2016
Last updated
11/09/2020
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