Individual
ALICIA BERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8550 BALBOA BLVD STE 150, NORTHRIDGE, CA 91325-3579
(818) 993-9311
Mailing address
9650 ZELZAH AVE, NORTHRIDGE, CA 91325-2003
(818) 993-9311
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
12/10/2020
Last updated
12/10/2020
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