Individual
DEO ABILLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
303 W VERDUGO AVE APT 108, BURBANK, CA 91502-2891
(714) 488-1682
Mailing address
303 W VERDUGO AVE APT 108, BURBANK, CA 91502-2891
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
10/08/2021
Last updated
10/08/2021
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