Individual
MR. SAURABH KUMAR GUPTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2075 NW HIGHLAND AVE, GRANT PASS, OR 97526
(541) 476-8891
(541) 476-2679
Mailing address
333 FIRST STREET NORTH,, C/O STANI VELJACA, SUITE 200, JACKSONVILLE BEACH, FL 32250
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
284998
OR
Other
Enumeration date
10/20/2011
Last updated
10/20/2011
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