Individual
KHYLA GODOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
19019 VENTURA BLVD, TARZANA, CA 91356-3253
(818) 501-8352
Mailing address
14358 MAGNOLIA BLVD APT 224, SHERMAN OAKS, CA 91423-1025
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5834
CA
Other
Enumeration date
11/18/2021
Last updated
12/20/2022
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