Individual
COLLEEN EISELE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
7120 HAYVENHURST AVE STE 215, VAN NUYS, CA 91406-3813
(818) 785-9515
Mailing address
228 W SPAZIER AVE APT D, BURBANK, CA 91502-2544
(818) 813-4628
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
20817
CA
Other
Enumeration date
01/07/2020
Last updated
11/06/2025
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