Individual
EMMA VARDANIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7335 VAN NUYS BLVD, VAN NUYS, CA 91405-1998
(310) 553-2695
Mailing address
17123 SHERMAN WAY, VAN NUYS, CA 91406-3618
(818) 606-9008
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
225XP0200X
Pediatric Occupational Therapist
—
—
Other
Enumeration date
04/23/2022
Last updated
04/23/2022
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