Individual
MS. SHEREEN MIZANY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR / L, MOT
Contact information
Practice address
330 S K ST # B, LOMPOC, CA 93436-7230
(805) 735-7291
Mailing address
PO BOX 1293, LOMPOC, CA 93438-1293
(818) 212-8148
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
3567 THERAPY SERVICE
CA
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
3567 O.T
CA
Other
Enumeration date
10/19/2006
Last updated
09/11/2025
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