Provider Demographics
NPI:1861942153
Name:GINSBURG, ABBY
Entity type:Individual
Prefix:
First Name:ABBY
Middle Name:
Last Name:GINSBURG
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4252 TROOST AVE
Mailing Address - Street 2:APT 2
Mailing Address - City:STUDIO CITY
Mailing Address - State:CA
Mailing Address - Zip Code:91604-2864
Mailing Address - Country:US
Mailing Address - Phone:402-871-3963
Mailing Address - Fax:
Practice Address - Street 1:4252 TROOST AVE
Practice Address - Street 2:APT 2
Practice Address - City:STUDIO CITY
Practice Address - State:CA
Practice Address - Zip Code:91604-2864
Practice Address - Country:US
Practice Address - Phone:402-871-3963
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-10-11
Last Update Date:2016-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA15404225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist