| NPI | 1053941989 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER L DAVIS Ower/Operator 408-337-2727 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| 225XF0002X Occupational Therapist, Feeding, Eating & Swallowing | |
| 225XP0200X Occupational Therapist, Pediatrics | |
| 235Z00000X Speech-Language Pathologist, | |
| 252Y00000X Early Intervention Provider Agency | |
| Enumeration Date | 2020-01-20 |
| Last Update Date | 2020-01-20 |