Individual provider · Type 1 NPI

Adi Nisimov

Occupational Therapist · Encino, CA

NPI number 1124674734 Active

Practice location

4923 Densmore Ave
Encino, CA 91436-1537

Other practice locations

  • 14515 Hamlin St, Van Nuys, CA 91411-1686 · (818) 989-7475

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Occupational Therapist Primary 225X00000X23005 (CA)

Occupational Therapist: An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork…

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About NPI 1124674734

Adi Nisimov's National Provider Identifier is 1124674734, issued on Aug 11, 2019. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Encino, CA. The record was last updated on Aug 30, 2022.