| NPI | 1023093408 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA PADIA WATTERS Otriii 916-734-6716 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: CA 4016) |
| Enumeration Date | 2005-12-08 |
| Last Update Date | 2020-08-22 |