Provider Demographics
NPI:1225624489
Name:PARIKH, RUPA DHARMESH (OTD, OTR/L)
Entity Type:Individual
Prefix:DR
First Name:RUPA
Middle Name:DHARMESH
Last Name:PARIKH
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 1:217 MARQUETTE AVE
Mailing Address - Street 2:
Mailing Address - City:SAN MARCOS
Mailing Address - State:CA
Mailing Address - Zip Code:92078-5382
Mailing Address - Country:US
Mailing Address - Phone:510-648-8040
Mailing Address - Fax:
Practice Address - Street 1:217 MARQUETTE AVE
Practice Address - Street 2:
Practice Address - City:SAN MARCOS
Practice Address - State:CA
Practice Address - Zip Code:92078-5382
Practice Address - Country:US
Practice Address - Phone:510-648-8040
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-12-11
Last Update Date:2020-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA21760225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist