Provider Demographics
NPI:1215219050
Name:HASHEMI, GOLI
Entity Type:Individual
Prefix:MS
First Name:GOLI
Middle Name:
Last Name:HASHEMI
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 1:1359 25TH AVE
Mailing Address - Street 2:APT B
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94122-1524
Mailing Address - Country:US
Mailing Address - Phone:214-908-6447
Mailing Address - Fax:
Practice Address - Street 1:1359 25TH AVE
Practice Address - Street 2:APT B
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94122-1524
Practice Address - Country:US
Practice Address - Phone:214-908-6447
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-09-19
Last Update Date:2011-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAOT11398225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist