Individual
MISS EILEEN D. LIBBEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7621 CANOGA AVE, CANOGA PARK, CA 91304-4912
(818) 598-6900
Mailing address
3506 S BENTLEY AVE APT 105, LOS ANGELES, CA 90034-6567
(310) 204-2286
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
2961-T
CA
Other
Enumeration date
11/01/2006
Last updated
07/08/2007
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