Deo Abille
Individual provider Active NPI Occupational Therapy Assistant · Burbank, CA
NPI 1417619396 · NPPES record last updated Oct 8, 2021
Key facts
- NPI
- 1417619396
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapy Assistant 224Z00000X
- Practice address
- 303 W Verdugo Ave Apt 108
Burbank, CA 91502-2891 - Phone
- (714) 488-1682
- NPI assigned
- Oct 8, 2021
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | Yes |
Addresses
Primary practice location
303 W Verdugo Ave Apt 108
Burbank, CA 91502-2891
Mailing address
303 W Verdugo Ave Apt 108
Burbank, CA 91502-2891
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All providers in Burbank, CA · Occupational Therapy Assistant in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 8, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.