ADI NISIMOV

ENCINO, CA
NPI1124674734
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225X00000X Occupational Therapist
(Licence: CA  23005)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2019-08-11
Last Update Date2022-08-30
Business Address
ADI NISIMOV
4923 DENSMORE AVE
ENCINO, CA 91436-1537
Phone number: 818-288-5314
Mailing Address
ADI NISIMOV
4923 DENSMORE AVE
ENCINO, CA 91436-1537
Phone number: 818-288-5314