Provider Demographics
NPI:1184068934
Name:JOSHI, NEELAMBARI G (OTR/L)
Entity type:Individual
Prefix:
First Name:NEELAMBARI
Middle Name:G
Last Name:JOSHI
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:NEELA
Other - Middle Name:G
Other - Last Name:JOSHI
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:OTR/L
Mailing Address - Street 1:41316 N SALIX DR
Mailing Address - Street 2:
Mailing Address - City:SAN TAN VALLEY
Mailing Address - State:AZ
Mailing Address - Zip Code:85140-4229
Mailing Address - Country:US
Mailing Address - Phone:480-809-7879
Mailing Address - Fax:
Practice Address - Street 1:41316 N SALIX DR
Practice Address - Street 2:
Practice Address - City:SAN TAN VALLEY
Practice Address - State:AZ
Practice Address - Zip Code:85140-4229
Practice Address - Country:US
Practice Address - Phone:480-756-3922
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-04-23
Last Update Date:2013-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ2038225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist