IndividualActive
Adi Nisimov
NPI 1124674734 · Occupational Therapist · Encino, CA
Provider details
- NPI number
- 1124674734
- Entity type
- Individual
- Primary specialty
- Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Female
- Sole proprietor
- Yes
Mailing address
4923 Densmore Ave
Encino, CA 91436-1537
Registry dates
- Enumerated
- 2019-08-11
- Last updated
- 2022-08-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.