Provider Demographics
NPI:1659662328
Name:CANALES, SHEILA (OT)
Entity Type:Individual
Prefix:
First Name:SHEILA
Middle Name:
Last Name:CANALES
Suffix:
Gender:F
Credentials:OT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7915 LINDLEY AVE
Mailing Address - Street 2:
Mailing Address - City:RESEDA
Mailing Address - State:CA
Mailing Address - Zip Code:91335-2122
Mailing Address - Country:US
Mailing Address - Phone:818-708-4948
Mailing Address - Fax:818-708-7899
Practice Address - Street 1:7915 LINDLEY AVE
Practice Address - Street 2:
Practice Address - City:RESEDA
Practice Address - State:CA
Practice Address - Zip Code:91335-2122
Practice Address - Country:US
Practice Address - Phone:818-708-4948
Practice Address - Fax:818-708-7899
Is Sole Proprietor?:No
Enumeration Date:2011-04-28
Last Update Date:2011-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAOT4348225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist