ANDRE PRYSTUPA

ENCINO, CA
NPI1134995285
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: CA  6524)
Enumeration Date2023-11-29
Last Update Date2023-11-29
Business Address
ANDRE PRYSTUPA
16500 VENTURA BLVD STE 414
ENCINO, CA 91436-5050
Phone number: 818-788-1003
Mailing Address
ANDRE PRYSTUPA
16500 VENTURA BLVD STE 414
ENCINO, CA 91436-5050
Phone number: 818-788-1003
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