Provider Demographics
NPI:1003637984
Name:NAVI, NATASHA TRISHA (OTR/L)
Entity type:Individual
Prefix:
First Name:NATASHA
Middle Name:TRISHA
Last Name:NAVI
Suffix:
Gender:F
Credentials: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:PO BOX 14655
Mailing Address - Street 2:
Mailing Address - City:VAN NUYS
Mailing Address - State:CA
Mailing Address - Zip Code:91409-4655
Mailing Address - Country:US
Mailing Address - Phone:310-880-5530
Mailing Address - Fax:
Practice Address - Street 1:10790 WILSHIRE BLVD APT 1004
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90024-4478
Practice Address - Country:US
Practice Address - Phone:310-880-5530
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-23
Last Update Date:2024-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA411538225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics