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General NPI Number Information
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NPI Number | 1154612786
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Entity Type | Individual
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Provider Name | SKYLRE ARIEL RITVO MS, OTR/L
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Gender | Female
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Dates
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Enumeration Date | 04/30/2011
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Last Update Date | 01/20/2015
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Provider Practice Location Address
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Address Line | 822 S ROBERTSON BLVD SUITE 202
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City | LOS ANGELES
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State | CA
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Zip | 90035-1613
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Country | US
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Telephone | 310-365-0500
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Fax |
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Provider Business Mailing Address
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Address Line | 1519 S FAIRFAX AVE APT 7
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City | LOS ANGELES
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State | CA
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Zip | 90019-4908
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Country | US
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Telephone | 617-283-5910
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 225XP0200X
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Taxonomy Name | Pediatric Occupational Therapist
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License Number | 14056
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License Number State | CA
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