Provider Demographics
NPI:1255164745
Name:BOYANAPALLI, ANJANA ALURI (OTR/L)
Entity type:Individual
Prefix:MRS
First Name:ANJANA
Middle Name:ALURI
Last Name:BOYANAPALLI
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 1:8330 THE LANDING WAY
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92127-7006
Mailing Address - Country:US
Mailing Address - Phone:619-540-3924
Mailing Address - Fax:
Practice Address - Street 1:8330 THE LANDING WAY
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92127-7006
Practice Address - Country:US
Practice Address - Phone:619-540-3924
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-08-21
Last Update Date:2024-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics