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KHURSHID DASTUR-ESCALANTE OT

>> Occupational Therapist >> Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Registrant NPI Number: 1215949375

Individual Registrant:
 KHURSHID  DASTUR-ESCALANTE OT
Gender: F
Sole Proprietor

Location and contact information for practice:
25706 HOOD WAY  STEVENSON RANCH, CA 91381-1403 US
Tel: 818-402-2132  Fax: --

Contact information for business:
25706 HOOD WAY  STEVENSON RANCH, CA 91381-1403 US
Tel: 818-402-2132  Fax: --

Registration Information:
NPI: 1215949375
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Occupational Therapist
CAOT2305

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
OCCUPATIONAL THERAPISTOT2305CA01




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