Individual
BRENNAN DESLAURIERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTA/L
Contact information
Practice address
19019 VENTURA BLVD, TARZANA, CA 91356-3253
(818) 501-8352
Mailing address
19019 VENTURA BLVD, TARZANA, CA 91356-3253
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5880
CA
Other
Enumeration date
08/16/2023
Last updated
08/16/2023
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