National Provider Identifier
Deepak Thettu
Deepak Thettu is listed in the NPPES registry with a primary specialty of Occupational Therapist in Penfield, NY and a listed phone number of (585) 314-4731.
Profile Overview
- NPI
- 1023385465
- Provider Type
- Individual
- Primary Specialty
- Occupational Therapist
- Enumeration Date
- November 30, 2011
- Last Updated
- November 30, 2011
Practice Location
- 110 Devonshire Cir
- Penfield, NY 14526-2665
Phone: (585) 314-4731
Specialties
- Occupational Therapist (225X00000X)
Full Record
- NPI
- 1023385465
- Entity Type
- Individual
- Last Name
- Thettu
- First Name
- Deepak
- Name Prefix
- Mr.
- Mailing Street Address
- 110 Devonshire Cir
- Mailing City
- Penfield
- Mailing State
- NY
- Mailing ZIP Code
- 14526-2665
- Mailing Country
- US
- Mailing Phone
- (585) 314-4731
- Practice Street Address
- 110 Devonshire Cir
- Practice City
- Penfield
- Practice State
- NY
- Practice ZIP Code
- 14526-2665
- Practice Country
- US
- Practice Phone
- (585) 314-4731
- Enumeration Date
- November 30, 2011
- Last Updated
- November 30, 2011
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Occupational Therapist (225X00000X)