Provider Demographics
NPI:1477930956
Name:DARJI, NIRALI (OCCUPATIONAL THERAPI)
Entity Type:Individual
Prefix:
First Name:NIRALI
Middle Name:
Last Name:DARJI
Suffix:
Gender:F
Credentials:OCCUPATIONAL THERAPI
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:801 ATHERTON DR
Mailing Address - Street 2:APT. #198
Mailing Address - City:MANTECA
Mailing Address - State:CA
Mailing Address - Zip Code:95337-8595
Mailing Address - Country:US
Mailing Address - Phone:510-358-9918
Mailing Address - Fax:909-396-9900
Practice Address - Street 1:706 N DIAMOND BAR BLVD
Practice Address - Street 2:B
Practice Address - City:DIAMOND BAR
Practice Address - State:CA
Practice Address - Zip Code:91765-1059
Practice Address - Country:US
Practice Address - Phone:909-396-8900
Practice Address - Fax:909-396-9900
Is Sole Proprietor?:No
Enumeration Date:2015-05-04
Last Update Date:2015-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA14837225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA14837OtherCBOT