Provider Demographics
NPI:1811621584
Name:PRAJAPATI, STUTI VIJAY
Entity Type:Individual
Prefix:
First Name:STUTI
Middle Name:VIJAY
Last Name:PRAJAPATI
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 1:11120 CHANDLER BLVD APT 3089
Mailing Address - Street 2:
Mailing Address - City:NORTH HOLLYWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:91601-4388
Mailing Address - Country:US
Mailing Address - Phone:551-254-4327
Mailing Address - Fax:
Practice Address - Street 1:6835 HAZELTINE AVE
Practice Address - Street 2:
Practice Address - City:VAN NUYS
Practice Address - State:CA
Practice Address - Zip Code:91405-3218
Practice Address - Country:US
Practice Address - Phone:818-997-1841
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-07-10
Last Update Date:2022-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist