Provider Demographics
NPI:1417438136
Name:KAUR, BHUPINDER PREET (OTR/L)
Entity Type:Individual
Prefix:
First Name:BHUPINDER
Middle Name:PREET
Last Name:KAUR
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:PREETI
Other - Middle Name:
Other - Last Name:SAREEN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:7859 KENNARD LN
Mailing Address - Street 2:
Mailing Address - City:SAN RAMON
Mailing Address - State:CA
Mailing Address - Zip Code:94582-5388
Mailing Address - Country:US
Mailing Address - Phone:510-378-2114
Mailing Address - Fax:
Practice Address - Street 1:22533 FOOTHILL BLVD
Practice Address - Street 2:
Practice Address - City:HAYWARD
Practice Address - State:CA
Practice Address - Zip Code:94541-4109
Practice Address - Country:US
Practice Address - Phone:510-732-7881
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-08-22
Last Update Date:2021-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA12663225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist