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Individual

NICOLE PEARLMAN DAVIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
19019 VENTURA BLVD, TARZANA, CA 91356-3253
(818) 501-8352
Mailing address
19019 VENTURA BLVD, TARZANA, CA 91356-3253
(818) 501-8352

Taxonomy

Speciality
Code
Description
License number
State
225XF0002X
Feeding, Eating & Swallowing Occupational Therapist
07311
CA
225XP0200X
Pediatric Occupational Therapist
Primary
CA17311
CA

Other

Enumeration date
08/01/2018
Last updated
08/07/2023
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