Provider Demographics
NPI:1437487469
Name:AFSHIN, MILDRED CECILIA (OTR/L)
Entity Type:Individual
Prefix:MRS
First Name:MILDRED
Middle Name:CECILIA
Last Name:AFSHIN
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8965 GOTHIC AVE
Mailing Address - Street 2:
Mailing Address - City:NORTH HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91343-4124
Mailing Address - Country:US
Mailing Address - Phone:818-830-1230
Mailing Address - Fax:
Practice Address - Street 1:8965 GOTHIC AVE
Practice Address - Street 2:
Practice Address - City:NORTH HILLS
Practice Address - State:CA
Practice Address - Zip Code:91343-4124
Practice Address - Country:US
Practice Address - Phone:818-830-1230
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-12-02
Last Update Date:2009-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAOT 7584225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist