Provider Demographics
NPI:1306978341
Name:MASSERMAN, AIMEE LEAH
Entity type:Individual
Prefix:
First Name:AIMEE
Middle Name:LEAH
Last Name:MASSERMAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23921 CROSSON DR
Mailing Address - Street 2:
Mailing Address - City:WOODLAND HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91367-2958
Mailing Address - Country:US
Mailing Address - Phone:818-426-9137
Mailing Address - Fax:
Practice Address - Street 1:14530 HAMLIN ST
Practice Address - Street 2:
Practice Address - City:VAN NUYS
Practice Address - State:CA
Practice Address - Zip Code:91411-1607
Practice Address - Country:US
Practice Address - Phone:818-373-4993
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225400000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation Practitioner