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Individual

EVONNE LEIBL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OT

Contact information

Practice address
24550 VIA ESQUINA, CALABASAS, CA 91302-3068
(818) 223-9493
Mailing address
24550 VIA ESQUINA, CALABASAS, CA 91302-3068
(818) 223-9493

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2827
CA

Other

Enumeration date
11/24/2009
Last updated
12/07/2009
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