Individual
MRS. HEIDI SOUSSAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
14742 HARTSOOK ST, SHERMAN OAKS, CA 91403-1407
(310) 980-1812
Mailing address
14742 HARTSOOK ST, SHERMAN OAKS, CA 91403-1407
(310) 980-1812
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
OT5913
CA
Other
Enumeration date
05/24/2011
Last updated
05/24/2011
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