Individual
MISS EILEEN DALE MISRAHI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
5052 BENEDICT CT, OAK PARK, CA 91377-4773
(818) 292-4345
(818) 706-9818
Mailing address
5052 BENEDICT CT, OAK PARK, CA 91377-4773
(818) 706-9818
(818) 706-9818
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
1105
CA
225XG0600X
Gerontology Occupational Therapist
Primary
1105
CA
225XL0004X
Low Vision Occupational Therapist
1105
CA
Other
Enumeration date
04/02/2009
Last updated
04/02/2009
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