Individual ProviderSaurabh Kumar GuptaOccupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address2075 NW Highland Ave, Grant Pass, OR 97526(541) 476-8891PECOS EnrollmentBased on the most recent information from CMS, provider Saurabh Kumar Gupta does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1992080956Provider TypeIndividualFull NameGupta, Saurabh KumarTitleMr.GenderMaleSole ProprietorNoEnumeration Date10/20/2011Last Updated10/20/2011Contact InformationPractice LocationPractice Address2075 NW Highland Ave, Grant Pass, OR 97526Phone(541) 476-8891Fax(541) 476-2679Mailing LocationMailing Address333 First Street North,, C/O Stani Veljaca, Suite 200, Jacksonville Beach, FL 32250PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225X00000XPrimaryDescriptionOccupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense284998Oregon