Individual
ALISA ELLEN SIMONYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13400 SHERMAN WAY, NORTH HOLLYWOOD, CA 91605-4415
(818) 983-0103
Mailing address
1921 N BUENA VISTA ST UNIT 42, BURBANK, CA 91504-3369
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
21090
CA
Other
Enumeration date
03/08/2023
Last updated
03/08/2023
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