Deepti Kedare

Individual provider Active NPI Occupational Therapist · Mountain House, CA

NPI 1932810710 · NPPES record last updated Dec 12, 2022

Key facts

NPI
1932810710
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapist 225X00000X
License
11634 (CA)
Practice address
173 E Ramsey Dr
Mountain House, CA 95391-8812
Phone
(323) 202-6047
NPI assigned
Dec 12, 2022
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
11634CAMDAcupuncturist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 11634 CA Yes

Addresses

Primary practice location

173 E Ramsey Dr
Mountain House, CA 95391-8812

Mailing address

173 E Ramsey Dr
Mountain House, CA 95391-8812
Phone (323) 202-6047

Other providers in Mountain House, CA

All providers in Mountain House, CA · Occupational Therapist in California

Sources for this page

Verify at the official NPI Registry.