Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Keshap Gautam

Individual provider Occupational Therapy Assistant · NPI 1356760433

Keshap Gautam is an Occupational Therapy Assistant in Southington, Connecticut. Practices as a sole proprietor. Licensed in California and Connecticut.

Licensed in
CA, CT
In the registry since
2014
Specialties on file
2

Practice location Address checks out

45 Meriden Ave
Southington, CT 06489-3214
Phone: (860) 453-4170
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapy Assistant (primary) Taxonomy 224Z00000X · Licence 001413 (CT)
Occupational Therapy Assistant Taxonomy 224Z00000X · Licence 2638 (CA)

Record details

NPI number1356760433
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedApril 16, 2014
Last updated in NPPESOctober 16, 2014

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