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
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X | 9454 | Massachusetts |
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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1477737435 | NPPES |
Massachusetts | Other | S31418226 | DRIVER'S LICENSE |
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