person
Virender K Gautam, OT
Neurorehabilitation Occupational Therapist in Greenville, South Carolina
NPI 1205867157

Virender K Gautam is a Neurorehabilitation Occupational Therapist based in Greenville, SC and is specialized in Neurorehabilitation. Virender K Gautam practices in Greenville, SC and has the professional credentials of OT. The NPI Number for Virender K Gautam is 1205867157 and holds a License No. 3389 (South Carolina).

The current practice location address for Virender K Gautam is 15 Evonvale Court, Greenville, SC and can be reached out via phone at 509-431-2795. You can also correspond with Virender K Gautam through the mailing address at 15 EVONVALE CT, GREENVILLE, SC - 29605-5978 (mailing address contact number: 509-431-2795).

Location: 15 Evonvale Court, Greenville, SC, 29605-5978
person
Provider Profile Details
NPI Number
1205867157
Provider Name
Virender K Gautam
Credential
OT
Provider Entity Type
Individual
Gender
Female
Address
15 Evonvale Court, Greenville, SC, 29605-5978
Phone Number
509-431-2795
Fax Number
Provider Enumeration Date
07/06/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
8414856 05 WA
0192967 01 WA L&I
institution
Provider Business Practice Location Address Details
Address
15 Evonvale Court
City
State
Zip
29605
Phone Number
509-431-2795
Fax Number
person
Provider Business Mailing Address Details
Address
15 Evonvale Ct
City
State
Zip
29605-5978
Phone Number
509-431-2795
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Occupational Therapist
Speciality
Neurorehabilitation
Taxonomy
License No.
3389 (South Carolina)
Definition
Definition to come...
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