Individual
ALLA JARIABEK-POURA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
20812 VENTURA BLVD STE 230, WOODLAND HILLS, CA 91364-2342
(818) 884-5362
Mailing address
20812 VENTURA BLVD STE 230, WOODLAND HILLS, CA 91364-2342
(818) 884-5362
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT 5767
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OT 5767
CALIFORNIA BOARD OF OCCUPATIONAL THERAPY
CA
Enumeration date
10/21/2014
Last updated
10/21/2014
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