Individual provider · Type 1 NPI

Nelly Amanda Mardiros

Rehabilitation Practitioner · Van Nuys, CA

NPI number 1336702844 Active

Practice location

14515 Hamlin St Ste 102
Van Nuys, CA 91411-1694

Fax (844) 623-5985

Specialties and licenses

TaxonomyCodeLicense
Behavior Technician 106S00000XNone listed
Rehabilitation Practitioner Primary 225400000XNone listed

Rehabilitation Practitioner: A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.

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About NPI 1336702844

Nelly Amanda Mardiros's National Provider Identifier is 1336702844, issued on Apr 19, 2019. The primary taxonomy on file is Rehabilitation Practitioner (225400000X), and the practice location is in Van Nuys, CA. The record was last updated on Aug 17, 2021.