Keshap Gautam
Keshap Gautam is an Occupational Therapy Assistant in Southington, Connecticut. Practices as a sole proprietor. Licensed in California and Connecticut.
- Licensed in
- CA, CT
- In the registry since
- 2014
- Specialties on file
- 2
Practice location Address checks out
45 Meriden AveSouthington, CT 06489-3214
Phone: (860) 453-4170
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Specialties & licences
| Occupational Therapy Assistant (primary) | Taxonomy 224Z00000X · Licence 001413 (CT) |
|---|---|
| Occupational Therapy Assistant | Taxonomy 224Z00000X · Licence 2638 (CA) |
Record details
| NPI number | 1356760433 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | April 16, 2014 |
| Last updated in NPPES | October 16, 2014 |
| Mailing address | 45 Meriden Ave, Southington, CT 06489-3214 |
Other providers in Southington
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Corrin L Campbell, COTA
45 Meriden Ave, Southington, CT 06489-3214 · (860) 378-1234
-
Linda Ciotto, OTA/L
35 N Main St, Southington, CT 06489-2577 · (860) 402-1607
-
Mrs. Cassandra Z Dibble, COTA
45 Meriden Ave, Southington, CT 06489-3214 · (860) 378-1236
-
Marc Iannucci, OTA
56 Partridge Dr, Southington, CT 06489-4017 · (203) 979-9440
-
MS. Katrina Lin Judd, COTA/L
413 W Center St, Southington, CT 06489 · (203) 645-3480
-
Mrs. Joyce Klotz, COTA
45 Meriden Ave, Southington, CT 06489-3214 · (860) 378-1236
-
MS. Katherine G Krivanec, COTA
2279 Mount Vernon Rd, Southington, CT 06489-1007 · (860) 628-4751