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General NPI Number Information
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NPI Number | 1720643216
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Entity Type | Individual
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Provider Name | BRIAN JOSEPH SILVA OTR/L
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Gender | Male
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Dates
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Enumeration Date | 05/09/2019
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Last Update Date | 05/09/2019
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Provider Practice Location Address
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Address Line | 22635 CAVALIER ST
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City | WOODLAND HILLS
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State | CA
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Zip | 91364-3922
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Country | US
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Telephone | 818-917-5716
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Fax |
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Provider Business Mailing Address
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Address Line | 5650 RESEDA BLVD
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City | TARZANA
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State | CA
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Zip | 91356-2230
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Country | US
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Telephone |
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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 | 225XP0019X
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Taxonomy Name | Physical Rehabilitation Occupational Therapist
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License Number | 19517
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License Number State | CA
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