Individual
ERIN MARISA STANFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, OTR/L
Contact information
Practice address
17609 VENTURA BLVD, SUITE #215, ENCINO, CA 91316-3858
(818) 530-7971
(818) 501-8325
Mailing address
17609 VENTURA BLVD, SUITE #215, ENCINO, CA 91316-3858
(818) 530-7971
(818) 501-8325
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
12154
CA
Other
Enumeration date
09/15/2011
Last updated
11/17/2011
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