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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KYLE FARDANESH

Active

KYLE FARDANESH is a Occupational Therapist healthcare provider located in ELK GROVE, California. NPI 1043762305 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapist · ELK GROVE, CA

Registration Details

NPI Number
1043762305
Provider Type
Individual
Gender
Male
NPI Issued
Nov 2, 2016 (9.754151863968 yrs)
Last Updated
Nov 2, 2016

Practice Information

Address
9105 FOUR SEASONS DR
ELK GROVE, CA, 956241288
Browse CA providers · Browse ZIP 95624
Phone
9167921889
Primary Specialty
Occupational Therapist
225200000X

Other Occupational Therapist Providers in ELK GROVE, CA

Name Credential NPI
GARIN L AMMERMAN PTA 1205847084
DANIELLE PELTIER PTA 1972714574
MS. BRANDI MICHELLE ROHN P.T.A 1912158460
MAI NGUYEN PTA 1881900405
ANINA SWAMI 1699168641
YURI RYBIN JR. PTA 1285142109
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.