Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Andre Prystupa

Individual provider Occupational Therapy Assistant · NPI 1134995285

Andre Prystupa is an Occupational Therapy Assistant in Encino, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2023
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Practice location Address checks out

16500 Ventura Blvd Ste 414
Encino, CA 91436-5050
Phone: (818) 788-1003
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Specialties & licences

Occupational Therapy Assistant (primary) Taxonomy 224Z00000X · Licence 6524 (CA)

Record details

NPI number1134995285
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedNovember 29, 2023
Last updated in NPPESNovember 29, 2023
Certification dateNovember 29, 2023
Mailing address16500 Ventura Blvd Ste 414, Encino, CA 91436-5050

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