Individual
AIBEK KYZYKTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
16311 VENTURA BLVD, ENCINO, CA 91436-2124
(818) 293-9464
Mailing address
16311 VENTURA BLVD, ENCINO, CA 91436-2124
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
225XM0800X
Mental Health Occupational Therapist
—
—
Other
Enumeration date
07/10/2024
Last updated
07/10/2024
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