Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XH1200X | Occupational Therapist - Hand | 7403 | CA |
NPI | 1245754662 |
---|---|
Provider Name | Danielle Sarah Kupferman |
First Address | Van Nuys, CA 91405-2241 |
Second Address | Van Nuys, CA 91405-2241 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 27/07/2017 |
Last Update Date | 27/07/2017 |