Individual
AILEEN AGCAOILI ERVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
4650 SUNSET BLVD, MAILSTOP #56, LOS ANGELES, CA 90027
(323) 669-2118
Mailing address
126 S CATALINA AVE APT 201, PASADENA, CA 91106-2908
(626) 568-0972
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
1398
CA
Other
Enumeration date
02/28/2007
Last updated
07/08/2007
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