Individual
MARK SABILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
630 W BROADWAY, GLENDALE, CA 91204-1008
(818) 247-3395
Mailing address
939 N FAIRVIEW ST, BURBANK, CA 91505-2610
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2849
CA
Other
Enumeration date
11/27/2019
Last updated
11/27/2019
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