Provider Demographics
NPI:1174194138
Name:GAJERA, KRISHNA M (OTD, OTR/L)
Entity Type:Individual
Prefix:
First Name:KRISHNA
Middle Name:M
Last Name:GAJERA
Suffix:
Gender:F
Credentials:OTD, OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3836 IRONWOOD DR
Mailing Address - Street 2:
Mailing Address - City:FRANKLINTON
Mailing Address - State:NC
Mailing Address - Zip Code:27525-7011
Mailing Address - Country:US
Mailing Address - Phone:919-327-0932
Mailing Address - Fax:
Practice Address - Street 1:3836 IRONWOOD DR
Practice Address - Street 2:
Practice Address - City:FRANKLINTON
Practice Address - State:NC
Practice Address - Zip Code:27525-7011
Practice Address - Country:US
Practice Address - Phone:919-327-0932
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-07-09
Last Update Date:2021-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC13751225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Single Specialty