Provider Demographics
NPI:1417653122
Name:HALABY, RIMA (CMT)
Entity Type:Individual
Prefix:MISS
First Name:RIMA
Middle Name:
Last Name:HALABY
Suffix:
Gender:F
Credentials:CMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2208 N DYMOND ST
Mailing Address - Street 2:
Mailing Address - City:BURBANK
Mailing Address - State:CA
Mailing Address - Zip Code:91505-1306
Mailing Address - Country:US
Mailing Address - Phone:818-391-5274
Mailing Address - Fax:
Practice Address - Street 1:2208 N DYMOND ST
Practice Address - Street 2:
Practice Address - City:BURBANK
Practice Address - State:CA
Practice Address - Zip Code:91505-1306
Practice Address - Country:US
Practice Address - Phone:181-839-1527
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-02-03
Last Update Date:2023-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA32939225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist