NPI | 1003215617 |
---|---|
Entity Type | Organization |
Authorized Contact | WENDY L KELLER Occupational Therapist 661-714-1455 |
Organization Subpart ? | No |
Primary Taxonomy | 174400000X Specialist (Licence: CA 10496) |
Additional Taxonomies | 252Y00000X Early Intervention Provider Agency (Licence: CA 10496) |
332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment | |
Enumeration Date | 2014-08-19 |
Last Update Date | 2014-08-19 |