NPI | 1063741940 |
---|---|
Entity Type | Organization |
Authorized Contact | HOLLY TENNANT Owner 760-740-0055 |
Organization Subpart ? | No |
Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics |
Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics |
235Z00000X Speech-Language Pathologist, | |
103K00000X Behavior Analyst | |
106H00000X Marriage & Family Therapist | |
Enumeration Date | 2009-12-23 |
Last Update Date | 2009-12-23 |