Individual
LISA SHIRIN GOLSHANI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
850 MALCOLM AVE, LOS ANGELES, CA 90024-3104
(310) 770-5497
Mailing address
850 MALCOLM AVE, LOS ANGELES, CA 90024-3104
(310) 770-5497
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
14219
CA
Other
Enumeration date
09/07/2022
Last updated
09/07/2022
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