Provider Demographics
NPI:1194247981
Name:ADLER, NAVAH (OTR/L)
Entity type:Individual
Prefix:
First Name:NAVAH
Middle Name:
Last Name:ADLER
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8819 PICKFORD ST
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90035-4210
Mailing Address - Country:US
Mailing Address - Phone:646-528-6119
Mailing Address - Fax:
Practice Address - Street 1:14624 SHERMAN WAY STE 500
Practice Address - Street 2:
Practice Address - City:VAN NUYS
Practice Address - State:CA
Practice Address - Zip Code:91405-2295
Practice Address - Country:US
Practice Address - Phone:818-902-2888
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-07-12
Last Update Date:2017-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA15479225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist