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Individual

RAJENDRA BAKHDA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
O.T.R.

Contact information

Practice address
6910 SYCAMORE LN, PALMDALE, CA 93551-1920
(661) 943-3108
Mailing address
PO BOX 6643, LANCASTER, CA 93539-6643
(661) 943-3108

Taxonomy

Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
OT6177
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
OT6711
CA BOARD OF OCCUPATIONAL THERAPY
CA
Enumeration date
01/26/2015
Last updated
01/26/2015
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