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

KESHAP GAUTAM

Active Sole Proprietor

KESHAP GAUTAM is a Occupational Therapy Assistant healthcare provider located in SOUTHINGTON, Connecticut. NPI 1356760433 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapy Assistant · SOUTHINGTON, CT

Registration Details

NPI Number
1356760433
Provider Type
Individual
Gender
Male
NPI Issued
Apr 16, 2014 (12.331747565168 yrs)
Last Updated
Oct 16, 2014
Licenses
001413 (CT)
2638 (CA)
Sole Proprietor
Yes

Practice Information

Address
45 MERIDEN AVE
SOUTHINGTON, CT, 064893214
Browse CT providers · Browse ZIP 06489
Phone
8604534170
Primary Specialty
Occupational Therapy Assistant
224Z00000X

Other Occupational Therapy Assistant Providers in SOUTHINGTON, CT

Name Credential NPI
MRS. MARGARET C VOLPE COTA 1376661967
MRS. CASSANDRA Z DIBBLE COTA 1457470072
MRS. JOYCE KLOTZ COTA 1326167941
CORRIN L CAMPBELL COTA 1194846519
MS. KATHERINE G KRIVANEC COTA 1295944825
DESIREE MARIE ROSSITTO COTA 1396948394
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.