Individual
ALEXA PANGBURN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MOT, OTR/L
Contact information
Practice address
7120 CORBIN AVE, RESEDA, CA 91335-3618
(818) 881-4540
Mailing address
6653 TYRONE AVE, VAN NUYS, CA 91405-4740
(818) 425-0955
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
28755
CA
Other
Enumeration date
02/24/2026
Last updated
02/24/2026
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