Provider Demographics
NPI:1255613634
Name:AGARWAL, PRIYA SADARANGANI (OTR/L)
Entity type:Individual
Prefix:MRS
First Name:PRIYA
Middle Name:SADARANGANI
Last Name:AGARWAL
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:MISS
Other - First Name:PRIYA
Other - Middle Name:MOTI
Other - Last Name:SADARANGANI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OTR/L
Mailing Address - Street 1:16397 VETERANS WAY
Mailing Address - Street 2:CIRA AT THE LANDING
Mailing Address - City:TUSTIN
Mailing Address - State:CA
Mailing Address - Zip Code:92782
Mailing Address - Country:US
Mailing Address - Phone:185-542-0168
Mailing Address - Fax:
Practice Address - Street 1:16397 VETERANS WAY
Practice Address - Street 2:CIRA AT THE LANDING
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92782
Practice Address - Country:US
Practice Address - Phone:818-554-2016
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-09-12
Last Update Date:2025-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA12098225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist