Provider Demographics
NPI:1811743438
Name:SHOKER, JASPREET KAUR (COTA/L)
Entity type:Individual
Prefix:
First Name:JASPREET
Middle Name:KAUR
Last Name:SHOKER
Suffix:
Gender:F
Credentials:COTA/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1508 RUBY AVE
Mailing Address - Street 2:
Mailing Address - City:FOWLER
Mailing Address - State:CA
Mailing Address - Zip Code:93625-2664
Mailing Address - Country:US
Mailing Address - Phone:916-621-7377
Mailing Address - Fax:
Practice Address - Street 1:1508 RUBY AVE
Practice Address - Street 2:
Practice Address - City:FOWLER
Practice Address - State:CA
Practice Address - Zip Code:93625-2664
Practice Address - Country:US
Practice Address - Phone:916-621-7377
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-04-25
Last Update Date:2024-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAOTA6193224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant