Taka, Jaldeza

Taka, Jaldeza is an individual health care provider with primary practice located at 2 Buttonwood Ln , Peabody MA 01960-3116. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Taka, Jaldeza can be contacted via phone (978) 821-1028.

Contact Information

Primary practice address
2 Buttonwood Ln Peabody MA 01960-3116
Fax:
Website:

Health care specialties

Profile Details

NPI number 1477737435
LBN Legal business name Taka, Jaldeza
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 26th, 2007
Last updated Dec 26th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1477737435 NPPES
Massachusetts Other S31418226 DRIVER'S LICENSE

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