Provider Demographics
NPI:1114276953
Name:VALJI, KARIM (OTR/L)
Entity Type:Individual
Prefix:
First Name:KARIM
Middle Name:
Last Name:VALJI
Suffix:
Gender:M
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:905 W MAIN ST SUITE G
Mailing Address - Street 2:
Mailing Address - City:EL CAJON
Mailing Address - State:CA
Mailing Address - Zip Code:92020-3162
Mailing Address - Country:US
Mailing Address - Phone:619-441-9922
Mailing Address - Fax:619-441-9923
Practice Address - Street 1:905 W MAIN ST SUITE G
Practice Address - Street 2:
Practice Address - City:EL CAJON
Practice Address - State:CA
Practice Address - Zip Code:92020-3162
Practice Address - Country:US
Practice Address - Phone:619-441-9922
Practice Address - Fax:619-441-9923
Is Sole Proprietor?:No
Enumeration Date:2012-09-07
Last Update Date:2012-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAOT12602225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist