| NPI | 1053815878 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE NICOLE MARTINEZ Director/Owner 626-780-5944 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics |
| Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics (Licence: CA 7262) |
| Enumeration Date | 2018-03-19 |
| Last Update Date | 2021-07-20 |