Individual
DIANA D SHEVEKHMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
12260 FOOTHILL BLVD, SYLMAR, CA 91342-6001
(818) 899-9545
Mailing address
12655 BRAXTON PL, GRANADA HILLS, CA 91344-1511
(323) 428-8539
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
17308
CA
Other
Enumeration date
01/22/2021
Last updated
01/22/2021
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