Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. SUDARSON GAUTAM, OTR/L
ActiveMR. SUDARSON GAUTAM, OTR/L is a Physical Rehabilitation Occupational Therapist healthcare provider located in PALMYRA, Pennsylvania. NPI 1619372182 is currently active in the NPPES registry. Verify at CMS.
Physical Rehabilitation Occupational Therapist · PALMYRA, PA
Registration Details
- NPI Number
- 1619372182
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 27, 2014 (11.836161268219 yrs)
- Last Updated
- Oct 15, 2025
- License
-
OC016192 (PA)
Practice Information
- Address
-
446 OLD FARM RD APT 2PALMYRA, PA, 170788720Browse PA providers · Browse ZIP 17078
- Phone
- 7178130115
- Primary Specialty
-
Physical Rehabilitation Occupational Therapist
225XP0019X
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.