NPI Profile for SUDHAGAR GANGATHARAM in LANSING, KS.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Hand |
225XH1200X | 67 | Occupational Therapist in Private Practice | |
Gerontology |
225XG0600X | 67 | Occupational Therapist in Private Practice | |
Low Vision |
225XL0004X | 67 | Occupational Therapist in Private Practice | |
Occupational Therapist |
225X00000X | 67 | Occupational Therapist in Private Practice | |
Physical Rehabilitation |
225XP0019X | 67 | Occupational Therapist in Private Practice |
| NPI Number | 1831089812 |
|
| Status | Active | |
| Credentials | OTR/L (Occupational Therapist, Registered, Licensed) | |
| Entity | Individual | |
| Enumeration date | 07/09/2025 | |
| Last updated | 07/15/2025 - About 11 months ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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SUDHAGAR GANGATHARAM
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