Individual
NICHOLAS PAUL SHORTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
11441 VENTURA BLVD, STUDIO CITY, CA 91604-3143
(818) 980-8200
Mailing address
17131 ROSCOE BLVD UNIT 12, NORTHRIDGE, CA 91325-5218
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
3499
CA
Other
Enumeration date
03/04/2026
Last updated
03/04/2026
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