Individual
MRS. ELISA MIRANDA HALILI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR-L
Contact information
Practice address
10730 HENDERSON ROAD, VENTURA, CA 93004-1832
(805) 647-1147
(805) 647-1148
Mailing address
725 CALLE VISTA VERDE, OXNARD, CA 93030
(805) 407-0694
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OT 5465
CA
Other
Enumeration date
05/03/2007
Last updated
07/08/2007
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