Provider Demographics
NPI:1114163318
Name:SALUJA, NEELAM
Entity Type:Individual
Prefix:
First Name:NEELAM
Middle Name:
Last Name:SALUJA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:315 E SAN FERNANDO ST
Mailing Address - Street 2:28
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95112-3550
Mailing Address - Country:US
Mailing Address - Phone:650-758-4700
Mailing Address - Fax:
Practice Address - Street 1:315 E SAN FERNANDO ST
Practice Address - Street 2:28
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95112-3550
Practice Address - Country:US
Practice Address - Phone:650-758-4700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-12-18
Last Update Date:2008-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA9826225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist