Individual
BRIAN WYLIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
15451 VENTURA BLVD, SHERMAN OAKS, CA 91403-3014
(818) 788-8870
Mailing address
15451 VENTURA BLVD, SHERMAN OAKS, CA 91403-3014
(818) 788-8870
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT16014
CA
Other
Enumeration date
06/07/2016
Last updated
06/07/2016
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