Provider Demographics
NPI:1639903917
Name:NAIR, VIDHISHA (OT)
Entity type:Individual
Prefix:
First Name:VIDHISHA
Middle Name:
Last Name:NAIR
Suffix:
Gender:F
Credentials:OT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:730 EMPEY WAY
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95128-4705
Mailing Address - Country:US
Mailing Address - Phone:408-275-1500
Mailing Address - Fax:
Practice Address - Street 1:730 EMPEY WAY
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95128-4705
Practice Address - Country:US
Practice Address - Phone:408-275-1500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-08-28
Last Update Date:2024-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist