Provider Demographics
NPI:1073911574
Name:NEUPANE, SHOBHA
Entity Type:Individual
Prefix:
First Name:SHOBHA
Middle Name:
Last Name:NEUPANE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:SHOBHA
Other - Middle Name:
Other - Last Name:NEUPANE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:OTR/L
Mailing Address - Street 1:KALANKISTHAN 14
Mailing Address - Street 2:
Mailing Address - City:KATHMANDU
Mailing Address - State:KATHMANDU
Mailing Address - Zip Code:14
Mailing Address - Country:NP
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:778 MIDDLEBURY RD
Practice Address - Street 2:
Practice Address - City:MIDDLEBURY
Practice Address - State:CT
Practice Address - Zip Code:06762-2401
Practice Address - Country:US
Practice Address - Phone:203-758-2471
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-12-15
Last Update Date:2023-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT003366225XN1300X
CA12984225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
No225XN1300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistNeurorehabilitation