Provider Demographics
NPI:1922335033
Name:PRADHAN, NIMISHA RAJESH (BSC OT, BSC PSYCH)
Entity Type:Individual
Prefix:MRS
First Name:NIMISHA
Middle Name:RAJESH
Last Name:PRADHAN
Suffix:
Gender:F
Credentials:BSC OT, BSC PSYCH
Other - Prefix:
Other - First Name:NIMISHA
Other - Middle Name:V
Other - Last Name:DHODIA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BSC OT
Mailing Address - Street 1:12411 SLAUSON AVE
Mailing Address - Street 2:SUITE H
Mailing Address - City:WHITTIER
Mailing Address - State:CA
Mailing Address - Zip Code:90606
Mailing Address - Country:US
Mailing Address - Phone:562-693-5449
Mailing Address - Fax:
Practice Address - Street 1:12411 SLAUSON AVE
Practice Address - Street 2:SUITE H
Practice Address - City:WHITTIER
Practice Address - State:CA
Practice Address - Zip Code:90606
Practice Address - Country:US
Practice Address - Phone:562-693-5449
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-11-10
Last Update Date:2009-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XF0002XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistFeeding, Eating & Swallowing
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
No225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics