Individual
AVIRIL SEPULVEDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4915 COLDWATER CANYON AVE APT 1, SHERMAN OAKS, CA 91423-2296
(714) 883-2798
Mailing address
14313 COLLINS ST, SHERMAN OAKS, CA 91401-4613
(714) 883-2798
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
7299
CA
225X00000X
Occupational Therapist
Primary
7299
CA
225XF0002X
Feeding, Eating & Swallowing Occupational Therapist
—
—
Other
Enumeration date
02/15/2012
Last updated
05/21/2021
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