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Individual

MS. POLIN DERBARSEGHIAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
250 E OLIVE AVE STE 202A, BURBANK, CA 91502-1211
(747) 231-7708
Mailing address
250 E OLIVE AVE STE 202A, BURBANK, CA 91502-1211

Taxonomy

Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
19070
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
19070
CBOT
CA
Enumeration date
05/27/2021
Last updated
05/27/2021
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