Individual
MS. PALITA KHALEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
1855 COCHRAN ST STE 109, SIMI VALLEY, CA 93065-2265
(805) 526-2311
(805) 526-6608
Mailing address
5720 RALSTON ST STE 200, VENTURA, CA 93003-7844
(805) 804-4168
(805) 830-1177
Taxonomy
Speciality
Code
Description
License number
State
225XH1200X
Hand Occupational Therapist
Primary
OT16674
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
16674
STATE LICENSE
CA
Enumeration date
02/12/2015
Last updated
10/15/2024
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